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General NPI Number Information
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NPI Number | 1003900630
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Entity Type | Organization
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Legal Business Name | TRI-STATE HOME RESPIRATORY CARE
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2620 SUMMERHILL ROAD
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City | TEXARKANA
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State | TX
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Zip | 75503-3956
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Country | US
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Telephone | 903-792-1030
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Fax | 903-793-2266
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Provider Business Mailing Address
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Address Line | 2620 SUMMERHILL ROAD
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City | TEXARKANA
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State | TX
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Zip | 75503-3956
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Country | US
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Telephone | 903-792-1030
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Fax | 903-793-2266
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PAMELA K. TRAMMELL
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Credential |
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Telephone | 903-792-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0040664
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | MG00341
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0008225
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License Number State | TX
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