Healthcare Provider Details

I. General information

NPI: 1487679254
Provider Name (Legal Business Name): NORTH CENTRAL MEDICAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W PECAN ST SUITE 101
PFLUGERVILLE TX
78660-3200
US

IV. Provider business mailing address

2401 W PECAN ST SUITE 101
PFLUGERVILLE TX
78660-3200
US

V. Phone/Fax

Practice location:
  • Phone: 512-990-3074
  • Fax: 512-251-4458
Mailing address:
  • Phone: 512-990-3074
  • Fax: 512-251-4458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0065104
License Number StateTX

VIII. Authorized Official

Name: CATHERINE HENSHAW
Title or Position: DIRECTOR
Credential:
Phone: 512-990-3074