Provider Demographics
NPI:1053122887
Name:ELECTROCHEMICAL OXYGEN CONCEPTS INC.
Entity type:Organization
Organization Name:ELECTROCHEMICAL OXYGEN CONCEPTS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEDERAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-338-7303
Mailing Address - Street 1:12500 NETWORK BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3310
Mailing Address - Country:US
Mailing Address - Phone:800-825-2979
Mailing Address - Fax:
Practice Address - Street 1:215 MUSHROOM BLVD STE 1802
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3256
Practice Address - Country:US
Practice Address - Phone:800-825-2979
Practice Address - Fax:210-561-9067
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELECTROCHEMICAL OXYGEN CONCEPTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-20
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies