Fort Worth Breathing Club Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0074593 Issued in TX

Legal business name

FORT WORTH BREATHING CLUB INC

Practice address

3401-B Denton Hwy
Haltom City, TX 76117-3235

Phone

(817) 386-5111

Fax

(817) 386-4727

NPI assigned

Jul 1, 2006

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara J Crabtree

Title

President

Phone

(817) 386-5111

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1417986647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401-B DENTON HWY.",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173235",
            "telephone_number": "817-386-5111",
            "fax_number": "817-386-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401-B DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173235",
            "telephone_number": "817-386-5111",
            "fax_number": "817-386-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH BREATHING CLUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-386-5111"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0074593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016443601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010634601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.