Provider Demographics
NPI:1255441796
Name:RESPIRA MEDICAL, L.P.
Entity type:Organization
Organization Name:RESPIRA MEDICAL, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNYAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-695-6900
Mailing Address - Street 1:1502 HOUSTON ST # 100
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5206
Mailing Address - Country:US
Mailing Address - Phone:817-695-6900
Mailing Address - Fax:817-695-6901
Practice Address - Street 1:1502 HOUSTON ST # 100
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5206
Practice Address - Country:US
Practice Address - Phone:817-695-6900
Practice Address - Fax:817-695-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0081452332BC3200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17327OtherPARKLAND HEALTHCARE
TX531843OtherBLUE CROSS BLUE SHIELD
TX7824752OtherCOOK CHILDRENS HEALTH PLAN
TX173036802Medicaid
TX10043946OtherAMERIGROUP
TX147875OtherSUPERIOR HEALTH
TX40746OtherAETNA MEDICAID
TX173036801Medicaid
TX531843OtherBLUE CROSS BLUE SHIELD
TX40746OtherAETNA MEDICAID