Organization Active NPI

Med Care Medical Supply of N. Texas, Inc

  • Durable Medical Equipment & Medical Supplies
  • Decatur, TX
National Provider Identifier
1639299068
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
89593 Issued in TX
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

Updated by the provider on Mar 15, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
532828OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.