Provider Demographics
NPI:1407824964
Name:OXYMED RESPIRATORY, INC
Entity Type:Organization
Organization Name:OXYMED RESPIRATORY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:CAMARGO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:210-599-2549
Mailing Address - Street 1:14309 TOEPPERWEIN ROAD
Mailing Address - Street 2:STE 308
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233
Mailing Address - Country:US
Mailing Address - Phone:210-599-2549
Mailing Address - Fax:210-599-2517
Practice Address - Street 1:14309 TOEPPERWEIN RD
Practice Address - Street 2:STE 308
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-3848
Practice Address - Country:US
Practice Address - Phone:210-599-2549
Practice Address - Fax:210-599-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0039621332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5139370001Medicare NSC