Healthcare Provider Details

I. General information

NPI: 1376996934
Provider Name (Legal Business Name): BREATHING CENTERS OF TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 ELDRIDGE PKWY STE 800
HOUSTON TX
77077-1771
US

IV. Provider business mailing address

17937 I 45 S STE 143
SHENANDOAH TX
77385-8706
US

V. Phone/Fax

Practice location:
  • Phone: 936-273-0015
  • Fax: 877-849-1623
Mailing address:
  • Phone: 936-273-0015
  • Fax: 877-849-1623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN VAWTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 801-388-7745