1558313924 NPI number — HOME OXYGEN & EQUIPMENT CO

Table of content: BRIAN M. HIGA D.M.D. (NPI 1063475796)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558313924 NPI number — HOME OXYGEN & EQUIPMENT CO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME OXYGEN & EQUIPMENT CO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558313924
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8212 ITHACA AVE
Provider Second Line Business Mailing Address:
STE E G
Provider Business Mailing Address City Name:
LUBBOCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-792-8727
Provider Business Mailing Address Fax Number:
806-792-8786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
133 SOUTH 9TH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SLATON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-792-8727
Provider Business Practice Location Address Fax Number:
806-792-8786
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHURTLEFF
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
806-792-8727

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0085272 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 509361 . This is a "BC BS" identifier . This identifiers is of the category "OTHER".




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