Active NPI
Surreal Breathing LLC
- Durable Medical Equipment & Medical Supplies
- Beaumont, TX
National Provider Identifier
1770610883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.