Healthcare Provider Details

I. General information

NPI: 1477338275
Provider Name (Legal Business Name): QUALI-AIR COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 SOUTHFORK LN
ROSHARON TX
77583-6039
US

IV. Provider business mailing address

1206 SOUTHFORK LN
ROSHARON TX
77583-6039
US

V. Phone/Fax

Practice location:
  • Phone: 210-473-7855
  • Fax: 281-674-8140
Mailing address:
  • Phone: 210-473-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RONALD E ERWIN
Title or Position: CEO
Credential: MS, RRT
Phone: 210-473-7855