MEDICARE: MX MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1000787	TX

General Provider Information

NPI Number	:	1184991093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MX MEDICAL LLC

Provider Business Mailing Address
First Line	:	9001 SAN DIEGO RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-2645
Country	:	US
Telephone Number	:	512-845-4234
Fax Number	:	512-666-5649

Provider Business Practice Location Address
First Line	:	9001 SAN DIEGO RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-2645
Country	:	US
Telephone Number	:	512-845-4234
Fax Number	:	512-666-5649

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TRAVIS HOWARD
Credential	:
Telephone Number	:	512-845-4234

Provider Enumeration Date	:	11/20/2011
Last Update Date	:	11/20/2011

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