Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eagle Pass Home Medical Supply LLC

Durable Medical Equipment & Medical Supplies in Eagle Pass, TX · enumerated 2005 · authorized official Kenneth Wiese, General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588646863

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Eagle Pass Home Medical Supply LLC

Practice address 2822 N Veterans Blvd Ste C, Eagle Pass, TX, 78852

Phone (830) 773-0171

Fax (830) 757-0789

Enumeration date Nov 14, 2005

Last updated in NPPES Oct 20, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License 0082296 (TX) Secondary

332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary

Authorized official

Name Kenneth Wiese

Title General Manager

Phone (830) 775-4060

Other identifiers

Identifier	Type	State	Issuer
175884902	Medicaid	TX	-
175884901	Medicaid	TX	-
507642	Other	TX	INSURANCE PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-10-20. Verify at npiregistry.cms.hhs.gov.

Where is Eagle Pass Home Medical Supply LLC located?

The practice location on file with NPPES is in Eagle Pass, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-20.