NPI: 1790753689 · FORT WORTH, TX 76118 · Oxygen Equipment & Supplies (DME) · NPI assigned 03/08/2006
| Authorized Official | HARBOUR, BOYCE (PRESIDENT) |
| NPI Enumeration Date | 03/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 162 | 162 | $3K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 12 | 12 | $171.33 |