NPI: 1134115025 · AMARILLO, TX 79107 · Oxygen Equipment & Supplies (DME) · NPI assigned 09/26/2005
| Authorized Official | MAYNARD, MICHAEL (CO-OWNER) |
| NPI Enumeration Date | 09/26/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $594.10 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 12 | 12 | $594.10 |