Organization
SPECIAL CARE HOME OXYGEN AND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D BRAST (VICE PRESIDENT)
(972) 644-2273
Entity
Organization
Contact information
Practice address
1301 N PLANO RD, RICHARDSON, TX 75081-2426
(972) 644-2273
(972) 783-0848
Mailing address
PO BOX 852437, RICHARDSON, TX 75085-2437
(972) 644-2273
(972) 783-0848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516416
BCBS TX
—
Enumeration date
07/28/2006
Last updated
09/11/2025
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