Texas Durable Medical Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

006519196 Issued in TX

Legal business name

TEXAS DURABLE MEDICAL CO

Practice address

8449 W Bellfort St
#110
Houston, TX 77071-2245

Phone

(713) 771-8362

Fax

(713) 771-8364

NPI assigned

Jun 17, 2006

Last updated

Mar 21, 2011By 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

Ms. Andrea Michelle Tellison

Title

Owner

Phone

(713) 771-8362

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1982649844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 W BELLFORT ST",
            "address_2": "#110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712245",
            "telephone_number": "713-771-8362",
            "fax_number": "713-771-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 W BELLFORT ST",
            "address_2": "#110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712245",
            "telephone_number": "713-771-8362",
            "fax_number": "713-771-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DURABLE MEDICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "TELLISON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-771-8362",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "006519196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158099502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158099501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Department of State Health Services (Texas DSHS - HSR 6&5 Houston)
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• Texas Elite Chiropractic, PLLC
• Texas Elite Hospice, LLC (Horizons Hospice)

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, 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 21, 2011; 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.