Healthcare Provider Details

I. General information

NPI: 1952347031
Provider Name (Legal Business Name): ASTHMA AND RESPIRATORY SERVICES OF OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 NW 63RD ST SUITE 900
OKLAHOMA CITY OK
73116-4829
US

IV. Provider business mailing address

2800 NW 63RD ST SUITE 900
OKLAHOMA CITY OK
73116-4829
US

V. Phone/Fax

Practice location:
  • Phone: 405-843-0170
  • Fax: 405-843-0172
Mailing address:
  • Phone: 405-843-0170
  • Fax: 405-843-0172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOK

VIII. Authorized Official

Name: MRS. MARIA J LUCAS
Title or Position: CEO
Credential: BSB, RRT, AE-C
Phone: 918-632-0170