Healthcare Provider Details

I. General information

NPI: 1891867354
Provider Name (Legal Business Name): OXYGEN RICH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 KINGS WAY
WAKE VILLAGE TX
75501-5775
US

IV. Provider business mailing address

1330 SHREVEPORT BARKSDALE HWY
SHREVEPORT LA
71105-2408
US

V. Phone/Fax

Practice location:
  • Phone: 903-831-7424
  • Fax: 903-831-2384
Mailing address:
  • Phone: 318-746-6288
  • Fax: 318-746-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0092873
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberATP3803
License Number StateTX

VIII. Authorized Official

Name: CLAUDE N FRIESLAND
Title or Position: PRESIDENT/CEO
Credential:
Phone: 318-746-6288