Organization
PATRICK HENRY MEDICAL LLC
Active
Other names
Breath of Life
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY BLUME LOE JR. (CEO OWNER)
(903) 893-1301
Entity
Organization
Contact information
Practice address
1708 BAKER RD, SHERMAN, TX 75090-2473
(903) 893-1301
(903) 893-1437
Mailing address
PO BOX 907, SHERMAN, TX 75091-0907
(903) 893-1301
(903) 893-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0099275
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981532-02
—
TX
Enumeration date
09/25/2007
Last updated
07/03/2023
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