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NPI Code Detail

MEDICARE: OXY PRO INC

MEDICARE: OXY PRO 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
1332BX2000XOxygen Equipment & Supplies (DME)05955 / 11.1MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578646154
Entity Type Code : Organization
Provider Name (Legal Business Name) : OXY PRO INC
Provider Business Mailing Address
First Line : 13221 HUGH SEYMOUR LN
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-2288
Country : US
Telephone Number : 228-875-7950
Fax Number : 228-875-7952
Provider Business Practice Location Address
First Line : 13221 HUGH SEYMOUR LN
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-2288
Country : US
Telephone Number : 228-875-7950
Fax Number : 228-875-7952
Authorized Official
Title or Position : PRESIDENT / CEO
Name : MR. BRIAN GARRETT DUCHARME
Credential :
Telephone Number : 228-875-7950
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/25/2008

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Directions to “OXY PRO INC ” Practice Location

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