Joe McKibben, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0039041 Issued in TX

Legal business name

JOE MCKIBBEN, LLC

Doing business as

M3 Medical

Practice address

2001 Skyline Dr
Suite A135
Sherman, TX 75092-3164

Phone

(903) 891-3052

Fax

(817) 237-8583

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Wayne Morris

Title

Manager

Phone

(903) 891-3052

Specialties & licenses 1

Addresses

Other names 1

• M3 Medical Doing business as

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669537437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SKYLINE DR",
            "address_2": "SUITE A135",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923164",
            "telephone_number": "903-891-3052",
            "fax_number": "817-237-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SKYLINE DR",
            "address_2": "SUITE A135",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923164",
            "telephone_number": "903-891-3052",
            "fax_number": "817-237-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE MCKIBBEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-891-3052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0039041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M3 Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Sherman, TX
• Providers in Sherman, 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 Aug 22, 2020; 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.