Mycromed LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MYCROMED LLC

Practice address

2364 Highway 287 N
Ste 109
Mansfield, TX 76063-9208

Phone

(888) 540-7464

Fax

(844) 566-9276

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Wanda Kinnison

Title

President

Phone

(888) 540-7464

Specialties & licenses 1

Addresses

Other names 1

• MSquared Doing business as

Locations

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1851782155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 HIGHWAY 287 N",
            "address_2": "STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639208",
            "telephone_number": "888-540-7464",
            "fax_number": "844-566-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 HIGHWAY 287 N",
            "address_2": "STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639208",
            "telephone_number": "888-540-7464",
            "fax_number": "844-566-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCROMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "KINNISON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-540-7464"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSquared",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Mansfield, TX
• Providers in Mansfield, 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 Jun 29, 2015; 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.