MEDICARE: BREATHE MOORE EASY

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013090125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHE MOORE EASY

Provider Business Mailing Address
First Line	:	12002 RICHMOND AVE
Second Line	:	#700
City	:	HOUSTON
State	:	TX
Zip	:	77082-2559
Country	:	US
Telephone Number	:	281-568-7200
Fax Number	:	281-568-7263

Provider Business Practice Location Address
First Line	:	12002 RICHMOND AVE
Second Line	:	#700
City	:	HOUSTON
State	:	TX
Zip	:	77082-2559
Country	:	US
Telephone Number	:	281-568-7200
Fax Number	:	281-568-7263

Authorized Official
Title or Position	:	OWNER
Name	:	MR. EDMUND MOORE
Credential	:	RRT RCP
Telephone Number	:	281-568-7200

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	08/22/2020

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