Provider Demographics
NPI:1346753373
Name:RESPIRATORY SOLUTIONS OF KINGWOOD - LLC
Entity Type:Organization
Organization Name:RESPIRATORY SOLUTIONS OF KINGWOOD - LLC
Other - Org Name:KINGWOOD RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT-ACCS
Authorized Official - Phone:713-955-4410
Mailing Address - Street 1:808 RUSSELL PALMER RD STE 150
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1697
Mailing Address - Country:US
Mailing Address - Phone:713-955-4410
Mailing Address - Fax:713-955-4412
Practice Address - Street 1:810 RUSSELL PALMER RD STE C
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2756
Practice Address - Country:US
Practice Address - Phone:713-955-4410
Practice Address - Fax:713-955-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001506OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES MULITPLE MEDICAL PRODUCTS DISTRIBUTOR