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Organization
SOUTHERN RESPIRATORY SERVICE, LLC
Active
Organization
SOUTHERN RESPIRATORY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY MITCHELL (MEMBER)
(972) 479-0844
Entity
Organization
Contact information
Practice address
5011 NE CREEK AVE, MCALESTER, OK 74501-7961
(918) 302-0140
(918) 302-0141
Mailing address
1771 INTERNATIONAL PKWY, SUITE 121, RICHARDSON, TX 75081-1897
(972) 479-0844
(972) 479-0413
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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