Provider Demographics
NPI:1962594028
Name:PULMO-GUARD HEALTH CARE L.L.C.
Entity type:Organization
Organization Name:PULMO-GUARD HEALTH CARE L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-961-4151
Mailing Address - Street 1:4151 SW FREEWAY
Mailing Address - Street 2:#240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7332
Mailing Address - Country:US
Mailing Address - Phone:713-961-4151
Mailing Address - Fax:713-961-1110
Practice Address - Street 1:4151 SW FREEWAY
Practice Address - Street 2:#240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7332
Practice Address - Country:US
Practice Address - Phone:713-961-4151
Practice Address - Fax:713-961-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0053635332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX519577OtherBCBS OF TEXAS
TX009971501Medicaid
TX011333401Medicaid
TX011333401Medicaid