Organization
BREATH OF LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOYCE HARBOUR (PRESIDENT)
(817) 907-8212
Entity
Organization
Contact information
Practice address
2612 GRAVEL DR, BLDG 7, FORT WORTH, TX 76118
(866) 777-3380
(888) 882-4004
Mailing address
PO BOX 93359, SOUTHLAKE, TX 76092-0113
(817) 686-1111
(817) 686-1116
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0066027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174304901
—
TX
Enumeration date
03/08/2006
Last updated
05/22/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us