MEDISOURCE SUPPLY INC
NPI 1689412520
Durable Medical Equipment & Medical Supplies in Austin, TX

Active since July 16, 2024
7703 N LAMAR BLVD STE 128, AUSTIN, TX 78752(512) 375-4141 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About MEDISOURCE SUPPLY INC

This page provides the complete NPI Profile along with additional information for Medisource Supply Inc, a provider established in Austin, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689412520 assigned on July 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Khalil Shafiq (Authorized Official)

NPI
1689412520 Verify this NPI
Provider Name
MEDISOURCE SUPPLY INC
Entity Type
Organization
Location Address
7703 N LAMAR BLVD STE 128 AUSTIN, TX 78752
Location Phone
(512) 375-4141
Mailing Address
7703 N LAMAR BLVD STE 128 AUSTIN, TX 78752
Mailing Phone
(512) 375-4141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2024
Last Update Date
07-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KHALIL SHAFIQ

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(512) 375-4141

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689412520, enumerated as an "organization" on July 16, 2024.

The provider is located at 7703 N LAMAR BLVD STE 128 AUSTIN, TX 78752 and the phone number is (512) 375-4141.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.