Active NPI
Med Care Medical Supply of N. Texas, Inc
- Durable Medical Equipment & Medical Supplies
- Decatur, TX
National Provider Identifier
1639299068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 89593
- Legal business name
- MED CARE MEDICAL SUPPLY OF N. TEXAS, INC
- Practice address
- 2804 S FM 51 Ste B
Decatur, TX 76234-4089 - Phone
- (940) 626-4600
- Fax
- (940) 626-4618
- NPI assigned
- Mar 30, 2007
- 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
- Mrs. Edith Hudson Dooley
- Title
- Financial Manager
- Phone
- (940) 549-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 89593 | TX | Primary |
Addresses
Primary practice location
2804 S FM 51 Ste B
Decatur, TX 76234-4089
Mailing address
1005 Hwy 16 S
Graham, TX 76450
Phone (940) 549-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532828 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2804 S FM 51
Ste B
Decatur, TX 76234
Phone (940) 626-4600
1112 State Highway 16 S
Graham, TX 76450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268611200000",
"number": "1639299068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 HWY 16 S",
"city": "GRAHAM",
"state": "TX",
"postal_code": "76450",
"telephone_number": "940-549-9797",
"fax_number": "940-549-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 S FM 51 STE B",
"city": "DECATUR",
"state": "TX",
"postal_code": "762344089",
"telephone_number": "940-626-4600",
"fax_number": "940-626-4618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED CARE MEDICAL SUPPLY OF N. TEXAS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2010-03-15",
"status": "A",
"authorized_official_last_name": "DOOLEY",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "HUDSON",
"authorized_official_title_or_position": "FINANCIAL MANAGER",
"authorized_official_telephone_number": "940-549-9797",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "89593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "532828",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.