MEDICARE: ASTHMA AND RESPIRATORY SERVICES OF OKLAHOMA

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		OK

General Provider Information

NPI Number	:	1952347031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA AND RESPIRATORY SERVICES OF OKLAHOMA

Provider Business Mailing Address
First Line	:	2800 NW 63RD ST
Second Line	:	SUITE 900
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-4829
Country	:	US
Telephone Number	:	405-843-0170
Fax Number	:	405-843-0172

Provider Business Practice Location Address
First Line	:	2800 NW 63RD ST
Second Line	:	SUITE 900
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-4829
Country	:	US
Telephone Number	:	405-843-0170
Fax Number	:	405-843-0172

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MARIA J LUCAS
Credential	:	BSB, RRT, AE-C
Telephone Number	:	918-632-0170

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	07/21/2022

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