Organization
OXY PRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GARRETT DUCHARME (PRESIDENT / CEO)
(228) 875-7950
Entity
Organization
Contact information
Practice address
13221 HUGH SEYMOUR LN, OCEAN SPRINGS, MS 39564-2288
(228) 875-7950
(228) 875-7952
Mailing address
13221 HUGH SEYMOUR LN, OCEAN SPRINGS, MS 39564-2288
(228) 875-7950
(228) 875-7952
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05955 / 11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07500036
—
MS
Enumeration date
10/24/2006
Last updated
11/25/2008
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