MEDICARE: ELECTROCHEMICAL OXYGEN CONCEPTS INC.

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	:	1053122887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELECTROCHEMICAL OXYGEN CONCEPTS INC.

Provider Business Mailing Address
First Line	:	12500 NETWORK BLVD STE 310
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3310
Country	:	US
Telephone Number	:	800-825-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 MUSHROOM BLVD STE 1802
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3256
Country	:	US
Telephone Number	:	800-825-2979
Fax Number	:	210-561-9067

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK NIEDERAUER
Credential	:
Telephone Number	:	210-338-7303

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	07/16/2025

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