Healthcare Provider Details

I. General information

NPI: 1083801120
Provider Name (Legal Business Name): CPAP SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7715 E 111TH ST SUITE 111
TULSA OK
74133-2571
US

IV. Provider business mailing address

3535 NW 58TH ST STE 485
OKLAHOMA CITY OK
73112-4804
US

V. Phone/Fax

Practice location:
  • Phone: 918-366-9400
  • Fax:
Mailing address:
  • Phone: 405-942-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateOK

VIII. Authorized Official

Name: MR. WILLIAM BROOKE WEBB JR.
Title or Position: OWNER
Credential:
Phone: 405-820-4162