Cardiopulmonary Provider INC
Respiratory Therapist, Certified in Memphis, TN. Organization (NPI-2).
NPI number1417987199
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417987199
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiopulmonary Provider INC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | – | TN | Yes |
Practice location
1131 S Prescott StMemphis, TN 38111-5555
Phone 901-854-9294
Mailing address
Po Box 11486Memphis, TN 38111-0486
Phone 901-854-9294
Authorized official
Willie E. Mosby
Ceo
9018549294
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