Organization Active NPI

Surreal Breathing LLC

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
National Provider Identifier
1770610883
Registry record updated Aug 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURREAL BREATHING LLC
Practice address
595 Orleans St
Suite 822a
Beaumont, TX 77701-3214
Phone
(409) 543-1942
Fax
(480) 718-8220
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2008

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

Authorized official

Name
Mary-Louise Mulcahy, RN, MBA, BSN
Title
Administrator
Phone
(480) 357-3904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

595 Orleans St
Suite 822a
Beaumont, TX 77701-3214

Mailing address

9221 E Baseline Rd
Suite A109-617
Mesa, AZ 85209-8310
Phone (480) 357-3904

National Provider Directory

National Provider Directory

Locations

595 Orleans St
Ste 822A
Beaumont, TX 77701
Phone (409) 543-1942

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219536000000",
    "number": "1770610883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD",
            "address_2": "SUITE A109-617",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098310",
            "telephone_number": "480-357-3904",
            "fax_number": "480-357-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ORLEANS ST",
            "address_2": "SUITE 822A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013214",
            "telephone_number": "409-543-1942",
            "fax_number": "480-718-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURREAL BREATHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-08-24",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "MARY-LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-357-3904",
        "authorized_official_credential": "RN, MBA, BSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2008; 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.