Provider Demographics
NPI:1013090125
Name:BREATHE MOORE EASY
Entity Type:Organization
Organization Name:BREATHE MOORE EASY
Other - Org Name:BREATHE MOORE EASY MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT RCP
Authorized Official - Phone:281-568-7200
Mailing Address - Street 1:12002 RICHMOND AVE
Mailing Address - Street 2:#700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2559
Mailing Address - Country:US
Mailing Address - Phone:281-568-7200
Mailing Address - Fax:281-568-7263
Practice Address - Street 1:12002 RICHMOND AVE
Practice Address - Street 2:#700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2559
Practice Address - Country:US
Practice Address - Phone:281-568-7200
Practice Address - Fax:281-568-7263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4414650001Medicare ID - Type UnspecifiedREGION D