Azle Oxygen Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0036196 Issued in TX

Legal business name

AZLE OXYGEN SUPPLY

Practice address

1129 Southeast Pkwy
Azle, TX 76020-3803

Phone

(817) 238-8989

Fax

(817) 238-8998

NPI assigned

Nov 15, 2005

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robin Keith Varnes

Title

Partner

Phone

(817) 238-8989

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1831171008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203803",
            "telephone_number": "817-238-8989",
            "fax_number": "817-238-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203803",
            "telephone_number": "817-238-8989",
            "fax_number": "817-238-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZLE OXYGEN SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "VARNES",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-238-8989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0036196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874133-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azle Cube Smiles PLLC
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• Azle Neuromonitoring LLC
• Christopher Dillon Bagwell
• Ramesh Bandagorla, M.D.
• Celeste Scofield Barefield, FNP
• Sarah Barnes, PHARM.D.
• Darin Bateman, DMD

• Oxygen Equipment & Supplies (DME) in Azle, TX
• Providers in Azle, 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 19, 2008; 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.