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General NPI Number Information
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NPI Number | 1215098892
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Entity Type | Organization
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Legal Business Name | TEXAS OXYCARE, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 30 S MAIN ST
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City | SAN ANGELO
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State | TX
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Zip | 76903-5927
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Country | US
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Telephone | 325-655-5756
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Fax | 325-658-3993
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Provider Business Mailing Address
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Address Line | 30 S MAIN ST
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City | SAN ANGELO
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State | TX
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Zip | 76903-5927
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Country | US
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Telephone | 325-655-5756
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Fax | 325-658-3993
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHAWN CLAYTON LEONARD
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Credential |
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Telephone | 325-655-5756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0036629
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License Number State | TX
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