Organization Active NPI

Medical Supply Depot

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1770681744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL SUPPLY DEPOT
Practice address
200 N McColl Rd
Unit B
McAllen, TX 78501-9359
Phone
(956) 972-0011
Fax
(956) 972-0018
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lauro Garza
Title
Partner
Phone
(956) 972-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 N McColl Rd
Unit B
McAllen, TX 78501-9359

Mailing address

200 N McColl Rd
Unit B
McAllen, TX 78501-9359
Phone (956) 972-0011

Other identifiers 1

IdentifierTypeStateIssuer
18381758MedicaidNM

National Provider Directory

National Provider Directory

Locations

200 N McColl Rd
Ste B
McAllen, TX 78501
Phone (956) 972-0011

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770681744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MCCOLL RD",
            "address_2": "UNIT B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019359",
            "telephone_number": "956-972-0011",
            "fax_number": "956-972-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MCCOLL RD",
            "address_2": "UNIT B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019359",
            "telephone_number": "956-972-0011",
            "fax_number": "956-972-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "LAURO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "956-972-0011"
    },
    "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": "18381758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.