MEDICARE: BREATHING ESSENTIALS MEDICAL SUPPLY COMPANY 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1114246170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHING ESSENTIALS MEDICAL SUPPLY COMPANY INC

Provider Business Mailing Address
First Line	:	2111 BRONSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-1219
Country	:	US
Telephone Number	:	832-607-2176
Fax Number	:	713-795-5515

Provider Business Practice Location Address
First Line	:	2111 BRONSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-1219
Country	:	US
Telephone Number	:	832-607-2176
Fax Number	:	713-795-5515

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SONIA ALANIS
Credential	:
Telephone Number	:	832-607-2176

Provider Enumeration Date	:	05/28/2010
Last Update Date	:	05/28/2010

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