Back to Back Medical Equipment Dist LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0075614 Issued in TX

Legal business name

BACK TO BACK MEDICAL EQUIPMENT DIST LLC

Practice address

817 Southmore Ave
Ste 100 I
Pasadena, TX 77502-1115

Phone

(713) 477-0780

Fax

(855) 873-8930

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ashley Washington

Title

Owner Ceo

Phone

(713) 477-0780

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1619047636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SOUTHMORE AVE",
            "address_2": "STE 100 I",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021115",
            "telephone_number": "713-477-0780",
            "fax_number": "855-873-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SOUTHMORE AVE",
            "address_2": "STE 100 I",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021115",
            "telephone_number": "713-477-0780",
            "fax_number": "855-873-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BACK MEDICAL EQUIPMENT DIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "713-477-0780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0075614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10048516",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1729295-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "200436441",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "200436441",
            "identifier": "HOMELINK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "100265265301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8200381",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTEGRATED HEALTH PLAN",
            "identifier": "200436441",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF T",
            "identifier": "531679",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1729295-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM HEALTH CHOICE",
            "identifier": "172929501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yusra Azhar, MD
• Mina Aziz, NP
• Aztec RX Inc
• Jehan Mansour Baba, DC
• Dana Lynne Babineaux, M.S.
• Lorna Baez, RN,MSN-NCC
• Mirza Baig, DDS
• Hailey Leeann Bailes, FNP
• Hoyit Barry Bailey, D.D.S.
• Kara Michelle Bailey, DDS MS

• Durable Medical Equipment & Medical Supplies in Pasadena, TX
• Providers in Pasadena, 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 Mar 28, 2014; 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.