MEDICARE: CRC CARDIORESPIRATORY 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	332BX2000X	Oxygen Equipment & Supplies (DME)	0041364	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1626	OTHER	TX	CERTIFIED PEDORTHIST
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275525065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRC CARDIORESPIRATORY CARE INC

Provider Business Mailing Address
First Line	:	13940 BAMMEL NORTH HOUSTON RD
Second Line	:	SUITE 306
City	:	HOUSTON
State	:	TX
Zip	:	77066-2950
Country	:	US
Telephone Number	:	832-286-0444
Fax Number	:	832-286-0448

Provider Business Practice Location Address
First Line	:	13940 BAMMEL NORTH HOUSTON RD
Second Line	:	SUITE 306
City	:	HOUSTON
State	:	TX
Zip	:	77066-2950
Country	:	US
Telephone Number	:	832-286-0444
Fax Number	:	832-286-0448

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JODY NEAL MEIGS
Credential	:	RPH
Telephone Number	:	832-286-0444

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	05/21/2008

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