PD SUPPLIERS OF TEXAS (NPI# 1093776379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093776379 |
| Entity Type | Organization |
| Organization Name | PD SUPPLIERS OF TEXAS |
| Other Organization Name | PD SUPPLIERS OF WEST TEXAS |
| Practice Address |
136 E Concho Ave San Angelo TX 76903-5947 |
| Mailing Address |
Po Box 5780 San Angelo TX 76902-5780 |
| Practice Telephone | 3256536773 |
| Mailing Telephone | 3256536773 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | NORA HERNANDEZ (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3256536773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
TX | Suppliers |
| Other Name | Type Code |
|---|---|
| PD Suppliers of West Texas | Doing Business As Name - Organization |
| Street Address |
136 E CONCHO AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548008 | West Texas Nephrology Associates | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| 1427661602 | Lynsie Provost | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-08-26 |
| 1952937161 | Leila Najarian | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-03-19 |
| 1629608963 | Tyler Adam Jowers | Behavior Technician | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2020-01-24 |
| 1275192270 | San Angelo Autism Center, Pllc | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2019-06-12 |
| 1407328255 | Hanna M Cain | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2018-12-18 |
| 1679085914 | Isabel Vela | Behavioral Analyst | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2017-10-26 |
| 1699770313 | Steve Frank Montoya Jr. | Internal Medicine | 136 E Concho Ave, San Angelo, TX 76903-5947 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112258 | A-one Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 4201 Cypress Creek Pkwy Ste 165, Houston, TX 77068-3457 | 2020-07-23 |
| 1912367335 | Medical Mart & Dme | Durable Medical Equipment & Medical Supplies | 1315 W Main Ave Ste 12, Alton, TX 78573-1643 | 2016-02-26 |
| 1366850299 | Aqua Clear Water Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2604 Xavier, Mcallen, TX 78504-2178 | 2014-07-23 |
| 1295079465 | Elite Medical & Mobility, LLC | Durable Medical Equipment & Medical Supplies | 6201 Technology Dr Ste 119, Frisco, TX 75033-3266 | 2012-11-12 |
| 1255610309 | Wes Enterprise | Durable Medical Equipment & Medical Supplies | 1704 Mapleleaf Dr, Wylie, TX 75098-8166 | 2011-08-08 |
| 1508159807 | 3t Federal Solutions LLC | Durable Medical Equipment & Medical Supplies | 6013 Techni Center Dr, Suite B, Austin, TX 78721-2324 | 2011-05-18 |
| 1710137302 | Christopher Kola Anani | Durable Medical Equipment & Medical Supplies | 7630 Harvest Mill Ln, Richmond, TX 77407-1679 | 2008-09-19 |
| 1821276056 | Immaculate Ems, Inc | Durable Medical Equipment & Medical Supplies | 9001 Airport Blvd Ste 703, Houston, TX 77061-3447 | 2008-02-11 |
| 1740248624 | Premier Dialysis Inc | Durable Medical Equipment & Medical Supplies | 1414 W. Wheatland Road, Suite 102, Duncanville, TX 75116 | 2006-05-02 |
| 1487254868 | Freedom Dialysis One Inc | Durable Medical Equipment & Medical Supplies | 7746 Highway 6 Ste C, Missouri City, TX 77459-4780 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.