Provider Demographics
NPI:1427006196
Name:OXYPRO, INC.
Entity Type:Organization
Organization Name:OXYPRO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-963-6265
Mailing Address - Street 1:1231 GREENWAY DR STE 260B
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2531
Mailing Address - Country:US
Mailing Address - Phone:972-299-3940
Mailing Address - Fax:
Practice Address - Street 1:1231 GREENWAY DR STE 260B
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2531
Practice Address - Country:US
Practice Address - Phone:916-282-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X, 335E00000X
TX0042423332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0170524-01Medicaid
TX531505OtherBLUE CROSS
TX0110611-01Medicaid
TX0170524-01Medicaid
TX1299600001Medicare NSC