Organization
BREATH E-Z HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PHIPPS (OWNER)
(254) 559-9201
Entity
Organization
Contact information
Practice address
400 SE 1ST ST, MINERAL WELLS, TX 76067-5393
(940) 325-1112
(940) 925-1118
Mailing address
PO BOX 1392, BRECKENRIDGE, TX 76424-1392
(254) 559-9201
(254) 559-7327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015785101
—
TX
Enumeration date
08/31/2011
Last updated
08/31/2011
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