Provider Demographics
NPI:1053636753
Name:RESPIRA MEDICAL LP
Entity Type:Organization
Organization Name:RESPIRA MEDICAL LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNYAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-695-6900
Mailing Address - Street 1:1502 HOUSTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5200
Mailing Address - Country:US
Mailing Address - Phone:817-695-6900
Mailing Address - Fax:817-695-6901
Practice Address - Street 1:910 PIERREMONT RD
Practice Address - Street 2:SUITE 410
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-2069
Practice Address - Country:US
Practice Address - Phone:318-861-8425
Practice Address - Fax:817-695-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0081452332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies