Active NPI
Walson, Inc.
- Durable Medical Equipment & Medical Supplies
- Beaumont, TX
National Provider Identifier
1689783250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WALSON, INC.
- Practice address
- 50 N 11TH St
Beaumont, TX 77702-2225 - Phone
- (409) 835-3091
- NPI assigned
- Aug 29, 2006
- 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
- Mr. Patrick A Wallace
- Title
- Ceo
- Phone
- (409) 835-3091
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
50 N 11TH St
Beaumont, TX 77702-2225
Mailing address
50 N 11TH St
Beaumont, TX 77702-2225
Phone (409) 835-3091
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015605103 | Medicaid | TX | |
| 015605101 | Medicaid | TX | |
| 015605102 | Medicaid | TX | |
| 1349330 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269475200000",
"number": "1689783250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N 11TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777022225",
"telephone_number": "409-835-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N 11TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777022225",
"telephone_number": "409-835-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALSON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-03-25",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "409-835-3091",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015605103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015605101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015605102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1349330",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.