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General NPI Number Information
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NPI Number | 1336144922
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Entity Type | Organization
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Legal Business Name | INMON RESPIRATORY SERVICES, INC.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 4639 CORONA DR STE 43
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-5424
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Country | US
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Telephone | 361-225-0052
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Fax | 361-225-0058
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Provider Business Mailing Address
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Address Line | 4639 CORONA DR STE 43
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-5424
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Country | US
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Telephone | 361-225-0052
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Fax | 361-225-0058
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Authorized Official
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Title or Position | CEO
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Name | WILLIS STANLEY WILLSON
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Credential |
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Telephone | 361-225-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0035275
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License Number State | TX
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