Performance Excellence Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0061279 Issued in TX

Legal business name

PERFORMANCE EXCELLENCE CORPORATION

Practice address

12002 Richmond Ave
700
Houston, TX 77082-2433

Phone

(281) 558-2273

Fax

(281) 558-2275

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Malinda Waller

Title

Owner

Phone

(281) 558-2273

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Performance Excellence Medical Supply Doing business as

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1659438257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 RICHMOND AVE",
            "address_2": "700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822433",
            "telephone_number": "281-558-2273",
            "fax_number": "281-558-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 RICHMOND AVE",
            "address_2": "700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822433",
            "telephone_number": "281-558-2273",
            "fax_number": "281-558-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE EXCELLENCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-558-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0061279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151906801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "531185",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151907601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Excellence Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Santhi Periasamy, PH.D.
• Stephanie Marie Perillo, M.A.
• Steven Kyle Perilman, MD

• 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 Apr 17, 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.