Waltco Medical Equipment & Supplies,Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0067012 Issued in TX

Legal business name

WALTCO MEDICAL EQUIPMENT & SUPPLIES,INC.

Practice address

1200 E Davis St
Suite 113
Mesquite, TX 75149-8729

Phone

(972) 290-9033

Fax

(972) 288-9947

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Walter Louis Sanders

Title

President/Ceo

Phone

(972) 290-9033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730280876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E DAVIS ST",
            "address_2": "SUITE 113",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498729",
            "telephone_number": "972-290-9033",
            "fax_number": "972-288-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E DAVIS ST",
            "address_2": "SUITE 113",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498729",
            "telephone_number": "972-290-9033",
            "fax_number": "972-288-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTCO MEDICAL EQUIPMENT & SUPPLIES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-290-9033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0067012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.