MDS Medical Diagnostic and Supplies LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1000715 Issued in TX

Legal business name

MDS MEDICAL DIAGNOSTIC AND SUPPLIES LLC

Practice address

11706 Fallbrook Dr
Suite B
Houston, TX 77065-3510

Phone

(281) 955-3377

Fax

(281) 955-3424

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Billy Adisa Ayoola

Title

President

Phone

(281) 955-3377

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelina Ibiwari Ayoola, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1407960792
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1629344866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772692312",
            "telephone_number": "281-955-3377",
            "fax_number": "281-955-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 FALLBROOK DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653510",
            "telephone_number": "281-955-3377",
            "fax_number": "281-955-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS MEDICAL DIAGNOSTIC AND SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "AYOOLA",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "ADISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-955-3377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "1000715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.