PBR Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PBR MEDICAL SUPPLY

Practice address

23415 Good Dale LN
Spring, TX 77373-7042

Phone

(832) 978-4578

Fax

(832) 375-0169

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Trista Moore

Title

Owner

Phone

(832) 978-4578

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1972607687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23415 GOOD DALE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23415 GOOD DALE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737042",
            "telephone_number": "832-978-4578",
            "fax_number": "832-375-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-978-4578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concepcion Carag Paulino, PT
• Rizaldo Cariaga Paulino, PHYSICAL THERAPIST
• Luciana Paulise
• Anaysia Payne
• Lindsay Payne, PT
• Pdsmiles, PLLC
• Peace Residential Care Home, Inc
• Peak Woodlands LLC
• Pealyco
• David Howell Pearce Jr., FNP-BC

• Durable Medical Equipment & Medical Supplies in Spring, TX
• Providers in Spring, 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 Sep 7, 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.