Active NPI
Med-Link of North Texas Systems, Inc.
- Durable Medical Equipment & Medical Supplies
- Kennedale, TX
National Provider Identifier
1982680260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0051649
- Legal business name
- MED-LINK OF NORTH TEXAS SYSTEMS, INC.
- Practice address
- 501 W Kennedale Pkwy
Kennedale, TX 76060-4619 - Phone
- (817) 478-8077
- Fax
- (817) 483-5009
- NPI assigned
- Dec 19, 2005
- Last updated
- Sep 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy M. Pickrell IX, NONE
- Title
- Office Manager
- Phone
- (817) 478-8077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0051649 | TX | Primary |
Addresses
Primary practice location
501 W Kennedale Pkwy
Kennedale, TX 76060-4619
Mailing address
501 W Kennedale Pkwy
Kennedale, TX 76060-4619
Phone (817) 478-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155990801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
501 W Kennedale Pkwy
Kennedale, TX 76060
Phone (817) 478-8077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1982680260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W KENNEDALE PKWY",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760604619",
"telephone_number": "817-478-8077",
"fax_number": "817-483-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W KENNEDALE PKWY",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760604619",
"telephone_number": "817-478-8077",
"fax_number": "817-483-5009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-LINK OF NORTH TEXAS SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-19",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "PICKRELL",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "817-478-8077",
"authorized_official_name_suffix": "IX",
"authorized_official_credential": "NONE"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0051649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155990801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennedale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.