Medisource Partners LLC

Primary specialty

Blood BankTaxonomy code 331L00000X

Legal business name

MEDISOURCE PARTNERS LLC

Practice address

9535 Forest LN
Suite 100a
Dallas, TX 75243-5900

Phone

(214) 954-0406

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Travis H Bird

Title

Owner

Phone

(214) 954-0406

Specialties & licenses 1

Addresses

Tax ID family

Medisource Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medisource Partners

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1649543216
  NPD tax ID

Locations

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1811441595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN",
            "address_2": "SUITE 100A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435900",
            "telephone_number": "214-954-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN",
            "address_2": "SUITE 100A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435900",
            "telephone_number": "214-954-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-954-0406"
    },
    "taxonomies": [
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael V Medina, MD
• Victor Joachim Medina, PT, DPT
• Medinova DME LLC
• Medishuttle Solutions, LLC
• Medisource Partners
• Meditelecare of Texas PLLC
• Medixon Diagnostics LLC
• Medlex Dental Group P.C.
• Medlex Dental Group P.C. (Aera Sleep Company)
• Emily Medley, MSN, NP

• Blood Bank in Dallas, TX
• Providers in Dallas, TX by specialty
• Blood Bank in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.