Provider Demographics
NPI:1265282198
Name:PROBITY O2 LLC
Entity type:Organization
Organization Name:PROBITY O2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-794-2698
Mailing Address - Street 1:1037 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:EVERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:76140-3636
Mailing Address - Country:US
Mailing Address - Phone:817-899-8188
Mailing Address - Fax:
Practice Address - Street 1:10601 CLARENCE DR STE 250
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3867
Practice Address - Country:US
Practice Address - Phone:844-794-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies