Provider Demographics
NPI:1275520389
Name:PULMO GUARD HEALTH CARE
Entity Type:Organization
Organization Name:PULMO GUARD HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. ADMIN ASST
Authorized Official - Prefix:
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-961-4444
Mailing Address - Street 1:4151 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7312
Mailing Address - Country:US
Mailing Address - Phone:713-961-4444
Mailing Address - Fax:713-961-1110
Practice Address - Street 1:4151 SOUTHWEST FWY
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7312
Practice Address - Country:US
Practice Address - Phone:713-961-4444
Practice Address - Fax:713-961-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0011302332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0831140001Medicare ID - Type Unspecified