Organization
RESPIRA MEDICAL, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HORNYAK (PRESIDENT)
(817) 695-6900
Entity
Organization
Contact information
Practice address
1502 HOUSTON ST # 100, GRAND PRAIRIE, TX 75050-5206
(817) 695-6900
(817) 695-6901
Mailing address
1502 HOUSTON ST # 100, GRAND PRAIRIE, TX 75050-5206
(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)
0081452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10043946
AMERIGROUP
TX
01
—
147875
SUPERIOR HEALTH
TX
05
—
173036801
—
TX
05
—
173036802
—
TX
01
—
17327
PARKLAND HEALTHCARE
TX
01
—
40746
AETNA MEDICAID
TX
01
—
531843
BLUE CROSS BLUE SHIELD
TX
01
—
7824752
COOK CHILDRENS HEALTH PLAN
TX
Enumeration date
08/30/2006
Last updated
07/29/2011
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