Organization Active NPI

The First Source DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Haltom City, TX
National Provider Identifier
1992638779
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE FIRST SOURCE DME LLC
Practice address
4200 Northern Cross Blvd Apt 7205
Haltom City, TX 76137-6434
Phone
(929) 494-1034
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Jarvis Paul McKinney
Title
Owner
Phone
(929) 494-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4200 Northern Cross Blvd Apt 7205
Haltom City, TX 76137-6434

Mailing address

4200 Northern Cross Blvd Apt 7205
Haltom City, TX 76137-6434
Phone (929) 494-1034

National Provider Directory

National Provider Directory
Tax ID family
The First Source DME LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1992638779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTHERN CROSS BLVD APT 7205",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761376434",
            "telephone_number": "929-494-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHERN CROSS BLVD APT 7205",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761376434",
            "telephone_number": "929-494-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIRST SOURCE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-494-1034"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.