TRAVIS MEDICAL SALES CORPORATION (NPI# 1982844569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844569 |
| Entity Type | Organization |
| Organization Name | TRAVIS MEDICAL SALES CORPORATION |
| Practice Address |
118 A South Park Drive Brownwood TX 76801-5957 |
| Mailing Address |
3201 Industrial Terrace Austin TX 78758-7525 |
| Practice Telephone | 3256433290 |
| Practice Fax Number | 3256433295 |
| Mailing Telephone | 5124584589 |
| Mailing Fax Number | 5124549521 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | JUSTIN YULE (VICE PRESIDENT/GENERAL MANAGER) |
| Authorized Official Telephone | 5124584589 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRAVIS MEDICAL SALES CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
0107430 | TX | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0107430 | TX | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0107430 | TX | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942835483 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 50 Budney Rd Ste A, Newington, CT 06111-5135 | 2020-03-05 |
| 1891222907 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 12402 Slide Rd Bldg 4 Ste 401, Lubbock, TX 79424-8323 | 2017-05-19 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1760744288 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 6240 Fourwinds Dr Ste A6, Bryan, TX 77808-7279 | 2012-06-11 |
| 1245507284 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 6020 Midway Park Blvd Ne Ste G, Albuquerque, NM 87109-5842 | 2011-11-18 |
| 1093006371 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 10421 Gulfdale St, San Antonio, TX 78216-4130 | 2011-04-21 |
| 1376770644 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 2910 S Padre Island Dr, Corpus Christi, TX 78415-1812 | 2009-06-15 |
| 1619971025 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 3201 Industrial Ter # 130, Austin, TX 78758-7525 | 2005-06-13 |
| 1265976054 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 2704 Sw 44th St, Oklahoma City, OK 73119 | 2016-12-13 |
| 1598136699 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 604 N Nolan River Rd, Cleburne, TX 76033-7008 | 2015-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRAVIS MEDICAL SALES CORPORATION | 3201 Industrial Ter Ste 130, Austin, TX 78758-7525 |
| Connecticut Business Registrations | TRAVIS MEDICAL SALES CORPORATION | 3201 Industrial Terrace Ste 130, Austin, TX 78758 |
| Street Address |
118 A SOUTH PARK DRIVE |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-5957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| 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 |
|---|---|---|---|---|
| 1114235918 | Regional Employee Assistance Program Inc | Durable Medical Equipment & Medical Supplies | 103 S Park Dr # B, Brownwood, TX 76801-5905 | 2010-09-15 |
| 1306150800 | Aa Prosthetic Services Inc | Durable Medical Equipment & Medical Supplies | 2408 Coggin Ave, Brownwood, TX 76801-5336 | 2010-07-27 |
| 1508182882 | Adrian Bill | Durable Medical Equipment & Medical Supplies | 1722 Tulane Dr, Brownwood, TX 76801-7720 | 2010-04-12 |
| 1922254846 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 200 W Commerce St, Brownwood, TX 76801-1806 | 2008-08-12 |
| 1891978045 | Zelda L Donley | Durable Medical Equipment & Medical Supplies | 1716 10th St, Brownwood, TX 76801-4721 | 2007-12-11 |
| 1174659130 | Rowland Winn Dba Winn Medical Supply | Durable Medical Equipment & Medical Supplies | 205 E Baker St, Brownwood, TX 76801 | 2007-02-26 |
| 1740207984 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 401 W Commerce St, Brownwood, TX 76801-1701 | 2006-07-16 |
| 1275567299 | Heartland Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1605 Coggin Avenue, Brownwood, TX 76801 | 2006-07-10 |
| 1932187291 | Hendrick Southwestern Health Development Corporation | Durable Medical Equipment & Medical Supplies | 2371 Crockett Dr Ste 101, Brownwood, TX 76801-5991 | 2006-01-06 |
| 1255320164 | Freedom2go LLC | Durable Medical Equipment & Medical Supplies | 2400 Crockett Drive Ste 300, Brownwood, TX 76801-1705 | 2005-10-14 |
| Find all providers in BROWNWOOD | ||||
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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.