STATESERV MEDICAL OF TEXAS (NPI# 1437545845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437545845 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL OF TEXAS |
| Other Organization Name | STATESERV MEDICAL OF DALLAS |
| Practice Address |
1000 Post and Paddock Street #305 Grand Prairie TX 75050 |
| Mailing Address |
1201 S. Alma School Road Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 8776337250 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | CHRISTOPHER ROODE (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATESERV MEDICAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TX32320 | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| StateServ Medical of Dallas | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1447646856 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 3913 Todd Lane, #409, Austin, TX 78744-1000 | 2015-04-13 |
| Street Address |
1000 POST AND PADDOCK STREET #305 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| 1952602179 | Happy Feet Therapeutic, LLC | Durable Medical Equipment & Medical Supplies | 605 E. Main St, Grand Prairie, TX 75050 | 2010-11-04 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693567 | Excel Dme LLC | Durable Medical Equipment & Medical Supplies | 517 N Carrier Pkwy Ste F, Grand Prairie, TX 75050-5464 | 2019-01-18 |
| 1952815979 | Anchorage Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 2580 W Camp Wisdom Rd #100199, Grand Prairie, TX 75052 | 2017-11-29 |
| 1194251520 | Willie Andrew Scott | Durable Medical Equipment & Medical Supplies | 5427 Maverick Dr, Grand Prairie, TX 75052-2638 | 2017-05-04 |
| 1699059691 | Ikonmed Corp. | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock St Ste 409, Grand Prairie, TX 75050-1143 | 2011-10-10 |
| 1306143490 | Uromed, Inc. | Durable Medical Equipment & Medical Supplies | 3080 W Interstate 20 Ste A, Grand Prairie, TX 75052-8048 | 2011-02-25 |
| 1629379227 | Hannah Amaefula | Durable Medical Equipment & Medical Supplies | 2306 Oak Ln Ste 4, Grand Prairie, TX 75051-8819 | 2010-11-12 |
| 1831407584 | Click Wheelchair Services | Durable Medical Equipment & Medical Supplies | 2429 Dalworth St, Suite 101, Grand Prairie, TX 75050-4980 | 2010-09-15 |
| 1750692802 | Geeta Khare | Durable Medical Equipment & Medical Supplies | 2304 Oak Ln Ste 5, Grand Prairie, TX 75051-8814 | 2010-06-23 |
| 1205152840 | Jhh Dme | Durable Medical Equipment & Medical Supplies | 2701 Osler Dr Ste 4, Grand Prairie, TX 75051-8388 | 2010-04-07 |
| 1760623227 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 5195 Lake Ridge Pkwy, Grand Prairie, TX 75052-3098 | 2009-03-13 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on STATESERV MEDICAL OF TEXAS.
| 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.