NPI age
19 years
Enumerated 2006-07-12
● Active Type 2 · Organization
Mineral Wells Medical Supply, Inc
Mineral Wells Medical Supply, Inc is 1 of 605 durable medical equipment & medical supplies organizations in Texas.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
President/owner
Last NPPES update
2021-10-15
Source: monthly bulk 2026-05
How this organization compares
Across 605 active durable medical equipment & medical supplies providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
211 Sw 25th Ave
Mineral Wells, TX 760678241
Mailing address
Po Box 1152
Mineral Wells, TX 760681152
Authorized official
Rebbekah Nadine Davis
President/owner
📞 9403252706
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 513486 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 087075001 | |
| 05 (TX) | 015895801 | |
| 01 (TX) | 44995 | AETNA MEDICAID |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.