Provider Demographics
NPI:1912193814
Name:QUANTUM DME AND RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:QUANTUM DME AND RESPIRATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORNELAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-225-0984
Mailing Address - Street 1:3100 N LEE TREVINO DR STE C2
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2099
Mailing Address - Country:US
Mailing Address - Phone:915-225-0984
Mailing Address - Fax:915-225-1034
Practice Address - Street 1:3100 N LEE TREVINO DR STE C2
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2099
Practice Address - Country:US
Practice Address - Phone:915-225-0984
Practice Address - Fax:915-225-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-20160-9043-6251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5280510001Medicare NSC