Active NPI
Travis Medical Sales Corporation
- Durable Medical Equipment & Medical Supplies
- San Angelo, TX
National Provider Identifier
1457681298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRAVIS MEDICAL SALES CORPORATION
- Practice address
- 1724 Sunset Dr
San Angelo, TX 76904-7104 - Phone
- (325) 223-6400
- Fax
- (325) 223-6404
- NPI assigned
- Dec 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Matukewicz
- Title
- Secretary
- Phone
- (423) 756-2268
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
1724 Sunset Dr
San Angelo, TX 76904-7104
Mailing address
5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1598599763
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1457681298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD RD STE 443",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212245",
"telephone_number": "423-756-2268",
"fax_number": "423-362-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 SUNSET DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047104",
"telephone_number": "325-223-6400",
"fax_number": "325-223-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVIS MEDICAL SALES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-29",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "MATUKEWICZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "423-756-2268"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.