Active NPI
Manuel Perez
- Oxygen Equipment & Supplies (DME)
- Baytown, TX
National Provider Identifier
1720061484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0032958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015736401 | Medicaid | TX | |
| 086830901 | Medicaid | TX | |
| 508604 | Other | TX | BLUE CROSS BLUE SHIELD OF |
| 8200181 | Other | TX | EVERCARE |
Other names 1
- cardiopulmonary
National Provider Directory
National Provider DirectoryLocations
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.