Provider Demographics
NPI:1003835281
Name:RESPIRATORY SOLUTIONS OF WESTERN OKLAHOMA, LLC
Entity Type:Organization
Organization Name:RESPIRATORY SOLUTIONS OF WESTERN OKLAHOMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-722-2652
Mailing Address - Street 1:7420 NW 84TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4271
Mailing Address - Country:US
Mailing Address - Phone:405-722-2652
Mailing Address - Fax:405-722-0880
Practice Address - Street 1:7420 NW 84TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-4271
Practice Address - Country:US
Practice Address - Phone:405-722-2652
Practice Address - Fax:405-722-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100812900AMedicaid
OK100812900AMedicaid