MEDICARE: BREATHING CENTERS, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1821325820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHING CENTERS, LLC

Provider Business Mailing Address
First Line	:	909 ESE LOOP323
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-9612
Country	:	US
Telephone Number	:	903-561-5588
Fax Number	:	903-561-5599

Provider Business Practice Location Address
First Line	:	4854 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1604
Country	:	US
Telephone Number	:	903-561-5588
Fax Number	:	903-561-5599

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY MURRAY
Credential	:
Telephone Number	:	903-561-5588

Provider Enumeration Date	:	11/11/2009
Last Update Date	:	11/11/2009

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