Organization
PROGRESSIVE PULMONARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS VILLARREAL RRT (PRESIDENT)
(713) 412-6620
Entity
Organization
Contact information
Practice address
12603 AUTUMN MILL DR, HOUSTON, TX 77070-5009
(713) 412-6620
Mailing address
12603 AUTUMN MILL DR, HOUSTON, TX 77070-5009
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
69738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516767
BCBS PROVIDER NUMBER
TX
Enumeration date
01/03/2007
Last updated
08/22/2020
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