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NPI Code Detail

MEDICARE: CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC

MEDICARE: CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies0010805TX
2332BC3200XCustomized Equipment (DME)ATP 915TX
3332BX2000XOxygen Equipment & Supplies (DME)1000005TX
4332BX2000XOxygen Equipment & Supplies (DME)1000552TX
5332B00000XDurable Medical Equipment & Medical Supplies1000552TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1508325OTHERTXBCBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770589392
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC
Provider Business Mailing Address
First Line : PO BOX 289
Second Line :
City : MEXIA
State : TX
Zip : 76667-0289
Country : US
Telephone Number : 254-562-3803
Fax Number : 254-562-2372
Provider Business Practice Location Address
First Line : 401 E MILAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-2329
Country : US
Telephone Number : 254-562-3803
Fax Number : 254-562-2372
Authorized Official
Title or Position : OWNER/CEO
Name : MR. WILLIAM H WRAGGE
Credential : RRT
Telephone Number : 254-562-3803
Provider Enumeration Date : 06/28/2005
Last Update Date : 05/23/2014

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Directions to “CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC ” Practice Location

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