Provider Demographics
NPI:1598857658
Name:PULMO-GUARD HEALTH CARE L.L.C.
Entity Type:Organization
Organization Name:PULMO-GUARD HEALTH CARE L.L.C.
Other - Org Name:PULMO-GUARD HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-961-4151
Mailing Address - Street 1:2629 N STEMMONS FREEWAY
Mailing Address - Street 2:#218
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-2100
Mailing Address - Country:US
Mailing Address - Phone:214-827-8803
Mailing Address - Fax:214-827-8813
Practice Address - Street 1:2629 N STEMMONS FREEWAY
Practice Address - Street 2:#218
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2100
Practice Address - Country:US
Practice Address - Phone:214-827-8803
Practice Address - Fax:214-827-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0056572332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09971502Medicaid
TX519577OtherBCBS OF TEXAS
TX09971502Medicaid