MEDICARE: PRAXAIR HEALTHCARE SERVICES, INC

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
2	332BC3200X	Customized Equipment (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	332BX2000X	Oxygen Equipment & Supplies (DME)	40-0012471	LA

General Provider Information

NPI Number	:	1932401510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAXAIR HEALTHCARE SERVICES, INC

Provider Business Mailing Address
First Line	:	350 PINE ST
Second Line	:	SUITE 330
City	:	BEAUMONT
State	:	TX
Zip	:	77701-2437
Country	:	US
Telephone Number	:	409-951-6179
Fax Number	:	203-702-6840

Provider Business Practice Location Address
First Line	:	21A HEYMAN LN
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3574
Country	:	US
Telephone Number	:	318-442-1133
Fax Number	:	318-442-3311

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY C BARNHARD
Credential	:
Telephone Number	:	203-837-2589

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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