Active NPI
Shiloh Medical Supply DME LLC
- Durable Medical Equipment & Medical Supplies
- Laredo, TX
National Provider Identifier
1710150388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SHILOH MEDICAL SUPPLY DME LLC
- Practice address
- 1008 E Bustamante St
Laredo, TX 78041-5205 - Phone
- (956) 726-9227
- Fax
- (956) 726-9279
- NPI assigned
- Apr 3, 2008
- 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
- Ms. Olga Esparza
- Title
- Owner
- Phone
- (956) 220-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1008 E Bustamante St
Laredo, TX 78041-5205
Mailing address
1008 E Bustamante St
Laredo, TX 78041-5205
Phone (956) 726-9227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015216-02 | Medicaid | TX |
Other names 1
- Shiloh Medical Supplies DME LLC
National Provider Directory
National Provider DirectoryLocations
1008 E Bustamante St
Laredo, TX 78041
Phone (956) 726-9227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1710150388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 E BUSTAMANTE ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415205",
"telephone_number": "956-726-9227",
"fax_number": "956-726-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 E BUSTAMANTE ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415205",
"telephone_number": "956-726-9227",
"fax_number": "956-726-9279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHILOH MEDICAL SUPPLY DME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "ESPARZA",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-220-3500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015216-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shiloh Medical Supplies DME LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
- Shah Eye Center, P.a.
- Ishan Shah
- Gollapudi Siva Shankar, MS, PHARMD, PHC, BCP
- Jeffry John Shellenberger, M.D.
- Jia Ming Shi, DMD
- Shoe Specialists of Laredo & Medical Supply LLC
- Shoe Specialists of Laredo & Medical Supply LLC
- Shoe Specialists of Laredo & Medical Supply, LLC
- Franceska Sifuentes
- Maria Teresa Sifuentes, ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.