Provider Demographics
NPI:1134517055
Name:POSITIVE BREATHING ORGANIZATION
Entity Type:Organization
Organization Name:POSITIVE BREATHING ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMMARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-245-7994
Mailing Address - Street 1:700 CAMELIA CT
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1519
Mailing Address - Country:US
Mailing Address - Phone:469-245-7994
Mailing Address - Fax:
Practice Address - Street 1:700 CAMELIA CT
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1519
Practice Address - Country:US
Practice Address - Phone:469-245-7994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center