Crescent Durable Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000832 Issued in TX

Legal business name

CRESCENT DURABLE MEDICAL, LLC

Practice address

4085 Ohio Dr
Suite 500
Frisco, TX 75035-6244

Phone

(214) 375-0101

Fax

(214) 375-0099

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Khalid Mahmood, M.D.

Title

Owner

Phone

(214) 375-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1942550801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 OHIO DR",
            "address_2": "SUITE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356244",
            "telephone_number": "214-375-0101",
            "fax_number": "214-375-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 OHIO DR",
            "address_2": "SUITE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356244",
            "telephone_number": "214-375-0101",
            "fax_number": "214-375-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DURABLE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-375-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE DME LICENCE",
            "identifier": "1000832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Frisco, TX
• Providers in Frisco, 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 Mar 14, 2013; 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.