FacilityDetail

Last Updated:  10/31/2024 7:06:06 PM

Facility Detail                       
Corporation / Company Owner Name BRADEN PARTNERS, L.P. 
Business (DBA) Name   PACIFIC PULMONARY SERVICES 
License Number  1-S-5248 
Facility Type Medical Gas Supplier 
Address

5709 SE 74TH ST, STE A

City, State, Zip OKLAHOMA CITY,OK 73135-1103 
Country   
Issue Date  08/14/2017 
Renewed Date 09/17/2020
Expiration Date  08/31/2021 
Renewal Month
End Date  05/10/2021 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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