Provider Demographics
NPI:1184618357
Name:PULMONARY HOME CARE INC
Entity type:Organization
Organization Name:PULMONARY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAQR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAQR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RRT
Authorized Official - Phone:281-679-0877
Mailing Address - Street 1:3505 S. DAIRY ASHFORD ST STE 185
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:281-679-0877
Mailing Address - Fax:281-679-0879
Practice Address - Street 1:3505 S DAIRY ASHFORD ST
Practice Address - Street 2:STE 185
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-679-0877
Practice Address - Fax:281-679-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18749332B00000X
TX0033333332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012023001Medicaid
TX519849OtherBCBS
TX1136920001Medicare NSC
TX1136920001Medicare PIN