Organization
PURE AIR OXYGEN SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONEL RIVERA RN-BSN (OWNER)
(361) 563-3352
Entity
Organization
Contact information
Practice address
1152 E 2ND ST, SUITE C, ALICE, TX 78332-5016
(361) 453-7416
(361) 453-7431
Mailing address
1152 E 2ND ST, SUITE C, ALICE, TX 78332-5016
(361) 453-7416
(361) 453-7431
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1001143
TX
Other
Enumeration date
01/21/2015
Last updated
04/30/2015
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