Med Care Medical Supply of No.TX Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

93470 Issued in TX

Legal business name

MED CARE MEDICAL SUPPLY OF NO.TX INC

Practice address

3402 W Walker St
Breckenridge, TX 76424-3911

Phone

(254) 559-1500

Fax

(254) 559-1010

NPI assigned

Mar 30, 2007

Organization subpart

Yes

Parent organization

MED CARE MEDICAL SUPPLY OF NO. TX INCAs reported in NPPES

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 3

Addresses

Part of

Med Care Medical Supply of N Texas Inc

Locations

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": "1689794026",
    "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": "940-549-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243911",
            "telephone_number": "254-559-1500",
            "fax_number": "254-559-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE MEDICAL SUPPLY OF NO.TX INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED CARE MEDICAL SUPPLY OF NO. TX INC",
        "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": "0057067",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "93470",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "372690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Len Maples, DO
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• Brian Masters, D.C.
• Matthew Proctor MD PA
• Rebecca Lynn McIntire, APRN, FNP
• Barbara Monserrat Medina-Palacios, PA
• Mineral Wells Medical Supply, Inc (Breckenridge Medical Supply)
• Laura Michelle Morales, PTA
• Vy N Nguyen
• Keely Marie Nickell

• Durable Medical Equipment & Medical Supplies in Breckenridge, TX
• Providers in Breckenridge, 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 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.