Healthcare Provider Details

I. General information

NPI: 1750314944
Provider Name (Legal Business Name): OXI-TECHS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8978 BAINBRIDGE PL
STOCKTON CA
95209-4807
US

IV. Provider business mailing address

8978 BAINBRIDGE PL
STOCKTON CA
95209-4807
US

V. Phone/Fax

Practice location:
  • Phone: 209-474-6848
  • Fax: 209-474-1565
Mailing address:
  • Phone: 209-474-6848
  • Fax: 209-474-1565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number0600076975
License Number StateCA

VIII. Authorized Official

Name: MRS. VIRGINIA ANN KRAPF
Title or Position: RESPIRATORY CARE PRACTITIONER
Credential: RCP
Phone: 209-474-6848