Travis Medical Sales Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRAVIS MEDICAL SALES CORPORATION

Practice address

118 S Park Dr Ste a
Brownwood, TX 76801-5957

Phone

(325) 643-3290

Fax

(325) 643-3295

NPI assigned

Feb 23, 2009

Organization subpart

Yes

Parent organization

TRAVIS MEDICAL SALES CORPORATIONAs reported in NPPES

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

Authorized official

Name

Jeffrey Matukewicz

Title

Secretary

Phone

(423) 756-2268

Specialties & licenses 4

Addresses

Part of

Travis Medical Sales Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Seating & Mobility, Inc

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1598599763

  Member Of

  NPD member

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1982844569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-362-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S PARK DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015957",
            "telephone_number": "325-643-3290",
            "fax_number": "325-643-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS MEDICAL SALES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRAVIS MEDICAL SALES CORPORATION",
        "enumeration_date": "2009-02-23",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0107430",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0107430",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0107430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darbi Tidwell, MA, LPC
• Misti Till, LPC
• Timothy R. Moore, MD, PA
• Amy Brough Tindol, M.D.
• Kimberly Townsend
• United Supermarkets LLC
• Elizabeth Vallejo, FNP-BC
• Erika Vela, HIS
• Shankar Venkat, BDS
• Vitou Vong

• Durable Medical Equipment & Medical Supplies in Brownwood, TX
• Providers in Brownwood, 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 25, 2021; 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.