Texas Blue Bonnet Durable Medical Equipment Conpany Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TEXAS BLUE BONNET DURABLE MEDICAL EQUIPMENT CONPANY INC.

Practice address

808 Utility
Sanger, TX 76266

Phone

(940) 458-9172

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. George M Fettinger, CPA

Title

Ceo

Phone

(817) 275-1040

Specialties & licenses 2

Addresses

Other names 1

• Texas Blue Bonnet DME Other name

Tax ID family

Texas Blue Bonnet DME2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TX Blubonnet Durable Medical Equipment Co, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sanger, TX
  • NPI 1255498200
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1710024831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 UTILITY",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "76266",
            "telephone_number": "940-458-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UTILITY",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "76266",
            "telephone_number": "940-458-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS BLUE BONNET DURABLE MEDICAL EQUIPMENT CONPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "FETTINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-275-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Blue Bonnet DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karrie Lea Stevenson, RN, IBCLC
• Mariangela Zo Stewart
• Nicholas Stratso, D.C.
• Sydney Taylor
• Stacie J. Test, D.D.S.
• Texas Bluebonnet Pharmacy
• Kody Joe Truebenbach, DPT
• Laura Jane Tunnicliff
• Ashley Ann Turner, RN, BSN
• TX Blubonnet Durable Medical Equipment Co, Inc.

• Durable Medical Equipment & Medical Supplies in Sanger, TX
• Providers in Sanger, 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 Sep 18, 2007; 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.