Mstat DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0097136 Issued in TX

Legal business name

MSTAT DME LLC

Practice address

2900 Central Blvd
Ste B
Brownsville, TX 78520-8983

Phone

(956) 546-7888

Fax

(956) 546-7833

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Julio Cesar Mendoza

Title

President

Phone

(956) 546-7888

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1780884502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 RIDGELINE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263888",
            "telephone_number": "956-546-7888",
            "fax_number": "956-546-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CENTRAL BLVD",
            "address_2": "STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208983",
            "telephone_number": "956-546-7888",
            "fax_number": "956-546-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSTAT DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-546-7888"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0097136",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0097136",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "0097136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.