MEDICARE: RESPIRATORY SOLUTIONS OF WESTERN OKLAHOMA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)		OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003835281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRATORY SOLUTIONS OF WESTERN OKLAHOMA, LLC

Provider Business Mailing Address
First Line	:	7420 NW 84TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4271
Country	:	US
Telephone Number	:	405-722-2652
Fax Number	:	405-722-0880

Provider Business Practice Location Address
First Line	:	7420 NW 84TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4271
Country	:	US
Telephone Number	:	405-722-2652
Fax Number	:	405-722-0880

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TAMMY KIRKPATRICK
Credential	:
Telephone Number	:	405-722-2652

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/21/2022

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