Provider Demographics
NPI:1558651232
Name:ABSOLUTE OXYGEN LLC
Entity Type:Organization
Organization Name:ABSOLUTE OXYGEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-274-2620
Mailing Address - Street 1:1500 BASSETT AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1730
Mailing Address - Country:US
Mailing Address - Phone:915-533-3050
Mailing Address - Fax:
Practice Address - Street 1:1500 BASSETT AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1730
Practice Address - Country:US
Practice Address - Phone:915-533-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000434332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32042261290OtherTEXAS SALES AND USE TAX PERMIT
TX1000434OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES