Organization
FORT WORTH BREATHING CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J CRABTREE (PRESIDENT)
(817) 386-5111
Entity
Organization
Contact information
Practice address
3401-B DENTON HWY, HALTOM CITY, TX 76117-3235
(817) 386-5111
(817) 386-4727
Mailing address
3401-B DENTON HWY., HALTOM CITY, TX 76117-3235
(817) 386-5111
(817) 386-4727
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0074593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010634601
—
TX
05
—
016443601
—
TX
Enumeration date
07/01/2006
Last updated
05/19/2009
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