Provider Demographics
NPI:1609514116
Name:PULMCARE
Entity type:Organization
Organization Name:PULMCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TETTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-477-6069
Mailing Address - Street 1:316 E MAIN ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4572
Mailing Address - Country:US
Mailing Address - Phone:254-253-2140
Mailing Address - Fax:430-204-4453
Practice Address - Street 1:316 E MAIN ST STE 2D
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4572
Practice Address - Country:US
Practice Address - Phone:254-253-2140
Practice Address - Fax:430-204-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies