Miracles and Mane

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIRACLES AND MANE

Practice address

4524 S W S Young Dr Ste 102
Killeen, TX 76542-5888

Phone

(254) 702-2079

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Annsonia Louise Thomas

Title

Executive Assistant of Operations

Phone

(254) 312-7012

Specialties & licenses 1

Addresses

Other names 1

• Miracles and Mane Incorporated Other name

Locations

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1992294151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 S W S YOUNG DR STE 102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425888",
            "telephone_number": "254-702-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 S W S YOUNG DR STE 102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425888",
            "telephone_number": "254-702-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES AND MANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANNSONIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT OF OPERATIONS",
        "authorized_official_telephone_number": "254-312-7012"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracles and Mane Incorporated",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Miracles and Mane Incorporated",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Killeen, TX
• Providers in Killeen, 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 May 3, 2018; 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.