State Wide DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATE WIDE DME LLC

Doing business as

State Wide DME

Practice address

3836 Stop38B
Zapata, TX 78076-2851

Phone

(956) 583-4620

Fax

(956) 583-4621

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By 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

Raquel Martinez

Title

Member

Phone

(956) 583-4620

Specialties & licenses 1

Addresses

Other names 1

• State Wide DME Doing business as

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1689995300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 STOP38B",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780762851",
            "telephone_number": "956-583-4620",
            "fax_number": "956-583-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 STOP38B",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780762851",
            "telephone_number": "956-583-4620",
            "fax_number": "956-583-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE WIDE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-583-4620"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Wide DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Zapata, TX
• Providers in Zapata, 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 Jun 16, 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.