Provider Demographics
NPI:1245266162
Name:ASTHMA AND RESPIRATORY SERVICES OF OKLAHOMA, INC
Entity type:Organization
Organization Name:ASTHMA AND RESPIRATORY SERVICES OF OKLAHOMA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSB, RRT, AE-C
Authorized Official - Phone:918-632-0179
Mailing Address - Street 1:1929 W GARRIOTT RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-5528
Mailing Address - Country:US
Mailing Address - Phone:918-233-0170
Mailing Address - Fax:
Practice Address - Street 1:10301 E 51ST ST
Practice Address - Street 2:SUITE D
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5804
Practice Address - Country:US
Practice Address - Phone:918-632-0170
Practice Address - Fax:918-632-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK57164413332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies