Organization Active NPI

PSR Medical Supplies Inc

  • Oxygen Equipment & Supplies (DME)
  • Stafford, TX
National Provider Identifier
1861756280
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PSR MEDICAL SUPPLIES INC
Practice address
4030 Bluebonnet Dr
Suite 202
Stafford, TX 77477-3950
Phone
(281) 701-4151
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mr. Pankaj A Assar
Title
Owner
Phone
(281) 701-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4030 Bluebonnet Dr
Suite 202
Stafford, TX 77477-3950

Mailing address

4030 Bluebonnet Dr
Suite 202
Stafford, TX 77477-3950
Phone (281) 701-4151

National Provider Directory

National Provider Directory

Locations

4030 Bluebonnet Dr
#202
Stafford, TX 77477
Phone (281) 701-4151

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1861756280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BLUEBONNET DR",
            "address_2": "SUITE 202",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773950",
            "telephone_number": "281-701-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BLUEBONNET DR",
            "address_2": "SUITE 202",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773950",
            "telephone_number": "281-701-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSR MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "ASSAR",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-701-4151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.