Organization
OXYPRO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY PERKINS (EXECUTIVE CHAIRMAN OF THE BOARD)
(888) 963-6265
Entity
Organization
Contact information
Practice address
1231 GREENWAY DR STE 260B, IRVING, TX 75038-2531
(916) 282-5329
Mailing address
1231 GREENWAY DR STE 260B, IRVING, TX 75038-2531
(972) 299-3940
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
0042423
TX
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110611-01
—
TX
05
—
0170524-01
—
TX
01
—
531505
BLUE CROSS
TX
Enumeration date
05/05/2006
Last updated
11/01/2023
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