Healthcare Provider Details

I. General information

NPI: 1427006196
Provider Name (Legal Business Name): OXYPRO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 GREENWAY DR STE 260B
IRVING TX
75038-2531
US

IV. Provider business mailing address

1231 GREENWAY DR STE 260B
IRVING TX
75038-2531
US

V. Phone/Fax

Practice location:
  • Phone: 916-282-5329
  • Fax:
Mailing address:
  • Phone: 972-299-3940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0042423
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JEREMY PERKINS
Title or Position: EXECUTIVE CHAIRMAN OF THE BOARD
Credential:
Phone: 888-963-6265