Organization Active NPI

Javier Trevino

Doing business as Liberty Medical

  • Oxygen Equipment & Supplies (DME)
  • McAllen, TX
National Provider Identifier
1457435489
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
58015 Issued in TX
Legal business name
JAVIER TREVINO
Doing business as
Liberty Medical
Practice address
1349 E Hackberry Ave
McAllen, TX 78501-5702
Phone
(956) 631-7406
Fax
(956) 631-7506
NPI assigned
Oct 25, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Javier Trevino Sr., RRT
Title
Owner
Phone
(956) 631-7406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 58015 TX Primary

Addresses

Primary practice location

1349 E Hackberry Ave
McAllen, TX 78501-5702

Mailing address

1349 E Hackberry Ave
McAllen, TX 78501-5702
Phone (956) 631-7406

Other identifiers 2

IdentifierTypeStateIssuer
188084102MedicaidTX
188084101MedicaidTX

Other names 1

  • Liberty Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1457435489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 E HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015702",
            "telephone_number": "956-631-7406",
            "fax_number": "956-631-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 E HACKBERRY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015702",
            "telephone_number": "956-631-7406",
            "fax_number": "956-631-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER TREVINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-631-7406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "58015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188084102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188084101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.