Organization Active NPI

Manuel Perez

  • Oxygen Equipment & Supplies (DME)
  • Baytown, TX
National Provider Identifier
1720061484
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0032958 Issued in TX
Legal business name
MANUEL PEREZ
Practice address
1010 Decker Dr
Baytown, TX 77520-4435
Phone
(281) 422-6191
Fax
(281) 422-2661
NPI assigned
Nov 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mr. Manuel Perez, RRT
Title
President
Phone
(281) 422-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0032958 TX Primary

Addresses

Primary practice location

1010 Decker Dr
Baytown, TX 77520-4435

Mailing address

1010 Decker Dr
Baytown, TX 77520-4435
Phone (281) 422-6191

Other identifiers 4

IdentifierTypeStateIssuer
015736401MedicaidTX
086830901MedicaidTX
508604OtherTXBLUE CROSS BLUE SHIELD OF
8200181OtherTXEVERCARE

Other names 1

  • cardiopulmonary Doing business as

National Provider Directory

National Provider Directory

Locations

1010 Decker Dr
Baytown, TX 77520
Phone (281) 422-6191

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1720061484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775204435",
            "telephone_number": "281-422-6191",
            "fax_number": "281-422-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775204435",
            "telephone_number": "281-422-6191",
            "fax_number": "281-422-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-26",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-422-6191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0032958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015736401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086830901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "508604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8200181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cardiopulmonary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.