MDM Home Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MDM HOME MEDICAL EQUIPMENT, LLC

Practice address

4084 Regent Dr
Wichita Falls, TX 76308-1508

Phone

(940) 691-6100

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Larry Dewayne Andrus

Title

President

Phone

(940) 691-6100

Specialties & licenses 1

Addresses

Tax ID family

A M Home Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M D M Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita Falls, TX
  • NPI 1215177068
  NPD tax ID

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508073875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4847",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080847",
            "telephone_number": "940-691-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 REGENT DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081508",
            "telephone_number": "940-691-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-691-6100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adysen Garrette McNabb, LPC-A
• Jody Renee McQuerry, M.S., CCC-SLP
• Michelle Leigh McQuerry, APN
• Sherrie Allison McShan, MOTR
• Morris Creedon McVean, D.O.
• Payton Lenee Meade, PTA
• Kelly D Meaders, LPC
• Jamie Meadors, FNP
• Med Tel Interantional Corporation
• Samantha Medema, PA-C

• Durable Medical Equipment & Medical Supplies in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.