Provider Demographics
NPI:1225031404
Name:DALLAS OXYGEN CORPORATION
Entity Type:Organization
Organization Name:DALLAS OXYGEN CORPORATION
Other - Org Name:PRESCRIPTION AIR
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-690-6404
Mailing Address - Street 1:11857 JUDD CT
Mailing Address - Street 2:STE 214
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4411
Mailing Address - Country:US
Mailing Address - Phone:972-690-6404
Mailing Address - Fax:972-680-0513
Practice Address - Street 1:11857 JUDD CT
Practice Address - Street 2:STE 214
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4411
Practice Address - Country:US
Practice Address - Phone:972-690-6404
Practice Address - Fax:972-680-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX509653OtherBLUE CROSS/ BLUE SHIELD
TX=========OtherTAX ID FOR OTHER INS CO.
TX0331850001Medicare ID - Type UnspecifiedPROVIDER NUMBER