Provider Demographics
NPI:1164595013
Name:KYLE AND ERIN INC
Entity Type:Organization
Organization Name:KYLE AND ERIN INC
Other - Org Name:NATIONWIDE RESPIRATORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-763-8040
Mailing Address - Street 1:4516 BOAT CLUB RD STE 114
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-7020
Mailing Address - Country:US
Mailing Address - Phone:817-763-8040
Mailing Address - Fax:817-763-8043
Practice Address - Street 1:4516 BOAT CLUB RD STE 114
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-7020
Practice Address - Country:US
Practice Address - Phone:817-763-8040
Practice Address - Fax:817-763-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80934332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016507801Medicaid