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Contact Information

BRAZOS VALLEY CARDIO RESPIRATORY
141-A MESCALERO TR.
RUIDOSO, NM88345
 Phone: 575-257-5083
 Fax: 575-257-5083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for BRAZOS VALLEY CARDIO RESPIRATORY

NPI # 1952585184
LBN Legal business name BRAZOS VALLEY CARDIO RESPIRATORY
Authorized official KEVIN MILLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2007
Last updated 04/09/2009 - About 17 years ago
Identifiers
TX License # 0059159
TX License # 56124
TX Medicaid 0111049-01
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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