Provider Demographics
NPI:1275525065
Name:CRC CARDIORESPIRATORY CARE INC
Entity Type:Organization
Organization Name:CRC CARDIORESPIRATORY CARE INC
Other - Org Name:CRC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:MEIGS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-286-0444
Mailing Address - Street 1:13940 BAMMEL NORTH HOUSTON RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-2950
Mailing Address - Country:US
Mailing Address - Phone:832-286-0444
Mailing Address - Fax:832-286-0448
Practice Address - Street 1:13940 BAMMEL NORTH HOUSTON RD
Practice Address - Street 2:SUITE 306
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-2950
Practice Address - Country:US
Practice Address - Phone:832-286-0444
Practice Address - Fax:832-286-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0041364332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1626OtherCERTIFIED PEDORTHIST
TX011057901Medicaid
TX017041701Medicaid
TX1626OtherCERTIFIED PEDORTHIST