Healthcare Provider Details

I. General information

NPI: 1477545978
Provider Name (Legal Business Name): PRECISION RESPIRATORY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CARE CIR
AMARILLO TX
79124-2105
US

IV. Provider business mailing address

7 CARE CIR
AMARILLO TX
79124-2105
US

V. Phone/Fax

Practice location:
  • Phone: 806-359-5454
  • Fax: 806-359-5490
Mailing address:
  • Phone: 806-359-5454
  • Fax: 806-359-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0069641
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ROBERT NICHOLAS THIELE
Title or Position: OWNER
Credential: RRT
Phone: 806-359-5454