Vitalus Airway 984 Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0034083 Issued in TX

Legal business name

VITALUS AIRWAY 984 INC

Doing business as

Medical Social Services of South East Texas, Inc.
PulmonaryRx, Bolyards
Vitalus Airway

Practice address

6300 N Main St Ste 105
Houston, TX 77009-2435

Phone

(281) 968-2300

Fax

(281) 968-2301

NPI assigned

Jan 9, 2007

Last updated

Jul 1, 2026By 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

Kautilya Patel

Title

Ceo

Phone

(281) 968-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 3

• Medical Social Services of South East Texas, Inc. Doing business as
• PulmonaryRx, Bolyards Doing business as
• Vitalus Airway Doing business as

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1639228984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ALLEN PKWY STE 1915",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192177",
            "telephone_number": "281-968-2300",
            "fax_number": "281-968-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N MAIN ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770092435",
            "telephone_number": "281-968-2300",
            "fax_number": "281-968-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALUS AIRWAY 984 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUTILYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-968-2300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0034083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155824902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155824901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Social Services of South East Texas, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PulmonaryRx, Bolyards",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PulmonaryRx, Bolyards",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitalus Airway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.