Roy Allen Moll Jr.
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Deport, TX
NPI 1992448005 · NPPES record last updated Apr 16, 2022
Key facts
- NPI
- 1992448005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1002614 (TX)
- Practice address
- 161 Main St
Deport, TX 75435-2560 - Phone
- (903) 209-8981
- NPI assigned
- Apr 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002614 | TX | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1002614 | TX | Yes |
Addresses
Primary practice location
161 Main St
Deport, TX 75435-2560
Mailing address
161 Main St
Deport, TX 75435-2560
Phone (903) 209-8981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002614 | Other | TX | TEXAS DME LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx@globaltech-pse.com | Direct |
Other providers in Deport, TX
- Anchored Starting Point Therapy, PLLC
- Catrina LPCS PLLC
- Catrina Drinning-Davis
- Vella Maddox
- Southwest LTC Lamar LTD
- Trousdale Foundation of Deport, Inc.
All providers in Deport, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.