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Organization
RESPIRA MEDICAL, LP
Active
Organization
RESPIRA MEDICAL, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HORNYAK (PRESIDENT)
(817) 695-6900
Entity
Organization
Contact information
Practice address
102 COMMANDER DR, STE 7-8, LONGVIEW, TX 75605-4670
(903) 753-9961
(903) 753-9976
Mailing address
1502 HOUSTON ST, SUITE100, GRAND PRAIRIE, TX 75050-5200
(817) 695-6900
(817) 695-6901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0081452
TX
332BC3200X
Customized Equipment (DME)
1000043
TX
Other
Enumeration date
02/17/2009
Last updated
06/21/2011
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