# TRAVIS MEDICAL SALES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRAVIS MEDICAL SALES CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376770644
- **Legal business name:** TRAVIS MEDICAL SALES CORPORATION
- **Authorized official:** JEFFREY MATUKEWICZ (SECRETARY)
- **Authorized official phone:** (423) 756-2268

## Contact information

- **Practice address:** 2910 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78415-1812
- **Practice address phone:** (361) 806-2772
- **Practice address fax:** (361) 806-2732
- **Mailing address:** 3201 INDUSTRIAL TERRACE \#130, AUSTIN, TX 78758-7525
- **Mailing address phone:** (512) 458-4589
- **Mailing address fax:** (512) 454-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 03/25/2021