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TRAVIS MEDICAL SALES CORPORATION NPI 1619971025


NPI Information

NPI: 1619971025
Provider Name: TRAVIS MEDICAL SALES CORPORATION
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3201 INDUSTRIAL TER STE 130
AUSTIN, TX
ZIP 78758
Phone: (512) 458-4589
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TRAVIS MEDICAL SALES CORPORATION is a durable medical equipment medical supplies in Austin, 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. TRAVIS MEDICAL SALES CORPORATION NPI is 1619971025. The provider is registered as an organization entity type.

The provider's business location address is:

3201 INDUSTRIAL TER STE 130
AUSTIN, TX
ZIP 78758-510
Phone: (512) 458-4589
Fax: (512) 454-9521

The provider's authorized official is Jeffrey Matukewicz .
The authorized official title is Secretary and has the following contact phone number (423) 756-2268.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 6/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies=========TEXASYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment=========TEXASNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition=========TEXASNo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies=========TEXASNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016016006MEDICAIDTEXAS
2016016003MEDICAIDTEXAS
3016016004MEDICAIDTEXAS
4514771OTHERTEXASBCBS

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: 11/14/2023

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