Provider Demographics
NPI:1336144922
Name:INMON RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:INMON RESPIRATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIS
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:WILLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-225-0052
Mailing Address - Street 1:4639 CORONA DR
Mailing Address - Street 2:STE 43
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5424
Mailing Address - Country:US
Mailing Address - Phone:361-225-0052
Mailing Address - Fax:361-225-0058
Practice Address - Street 1:4639 CORONA DR
Practice Address - Street 2:STE 43
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5424
Practice Address - Country:US
Practice Address - Phone:361-225-0052
Practice Address - Fax:361-225-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0035275332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0035275OtherTX DEPARTMENT OF HEALTH
TX0105918-01Medicaid
TX1187350001Medicare NSC