BACK TO BACK MEDICAL EQUIPMENT DIST LLC NPI 1619047636

NPI Information

NPI: 1619047636
Provider Name: BACK TO BACK MEDICAL EQUIPMENT DIST LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
817 SOUTHMORE AVE
STE 100 I
PASADENA, TX
ZIP 77502
Phone: (713) 477-0780
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BACK TO BACK MEDICAL EQUIPMENT DIST LLC is a durable medical equipment medical supplies in Pasadena, TX. The provider is 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. BACK TO BACK MEDICAL EQUIPMENT DIST LLC NPI is 1619047636. The provider is registered as an organization entity type.

The provider's business location address is:

817 SOUTHMORE AVE
STE 100 I
PASADENA, TX
ZIP 77502-115
Phone: (713) 477-0780
Fax: (855) 873-8930

The provider's authorized official is Ashley Washington .
The authorized official title is Owner Ceo and has the following contact phone number (713) 477-0780.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		0075614	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	531679	OTHER	TEXAS	BLUECROSS/BLUESHIELD OF T
2	6227760001	MEDICARE NSC	TEXAS
3	1729295-01	MEDICAID	TEXAS
4	5226940001	MEDICARE NSC	TEXAS
5	200436441	OTHER	TEXAS	PHCS
6	HOMELINK	OTHER	TEXAS	200436441
7	1729295-02	MEDICAID	TEXAS
8	8200381	OTHER	TEXAS	EVERCARE
9	100265265301	OTHER	TEXAS	UNITEDHEALTH CARE
10	10048516	OTHER	TEXAS	AMERIGROUP
11	200436441	OTHER	TEXAS	INTEGRATED HEALTH PLAN
12	172929501	OTHER	TEXAS	COMM HEALTH CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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