Provider Demographics
NPI:1033369624
Name:BREATHING CENTERS OF TEXAS, PLLC
Entity Type:Organization
Organization Name:BREATHING CENTERS OF TEXAS, PLLC
Other - Org Name:BREATHING CENTERS OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAWTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-388-7745
Mailing Address - Street 1:17937 I 45 S STE 143
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8783
Mailing Address - Country:US
Mailing Address - Phone:936-273-0015
Mailing Address - Fax:
Practice Address - Street 1:6108 S RICE AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2983
Practice Address - Country:US
Practice Address - Phone:713-660-0663
Practice Address - Fax:713-660-0931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0013SGOtherBCBS PIN
TX0013SGOtherBCBS PIN