MEDICARE: PULMONARY HOME CARE 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	18749	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	0033333	TX

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
2	519849	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1184618357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY HOME CARE INC

Provider Business Mailing Address
First Line	:	3505 S. DAIRY ASHFORD ST STE 185
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082
Country	:	US
Telephone Number	:	281-679-0877
Fax Number	:	281-679-0879

Provider Business Practice Location Address
First Line	:	3505 S DAIRY ASHFORD ST
Second Line	:	STE 185
City	:	HOUSTON
State	:	TX
Zip	:	77082
Country	:	US
Telephone Number	:	281-679-0877
Fax Number	:	281-679-0879

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SAQR A SAQR
Credential	:	MA, RRT
Telephone Number	:	281-679-0877

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	12/02/2011

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Directions to “PULMONARY HOME CARE INC ” Practice Location

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