# PATRICK HENRY MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Breath of Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659568590
- **Authorized official:** HENRY BLUME LOE JR. (CEO OWNER)
- **Authorized official phone:** (903) 893-1301

## Contact information

- **Practice address:** 1708 BAKER RD, SHERMAN, TX 75090-2473
- **Practice address phone:** (903) 893-1301
- **Practice address fax:** (903) 893-1437
- **Mailing address:** PO BOX 907, SHERMAN, TX 75091-0907
- **Mailing address phone:** (903) 893-1301
- **Mailing address fax:** (903) 893-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0099275 | TX | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 07/03/2023