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NPI 1518149624

NPI 1518149624 : X-RAY ON WHEELS, INC. : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1518149624
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    Entity Type          |    Organization 
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    Legal Business Name  |    X-RAY ON WHEELS, INC. 
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Dates
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    Enumeration Date     |    11/30/2007
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    4929 BURNEY DR STE. 100
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78411-2708
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    Country              |    US
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    Telephone            |    361-881-9142
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    Fax                  |    361-881-9202
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Provider Business Mailing Address
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    Address Line         |    PO BOX 60577 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78466-0577
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    Country              |    US
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    Telephone            |    361-881-9142
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    Fax                  |    361-881-9202
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Authorized Official
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    Title or Position    |    ASST. ADMIN.
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    Name                 |    MRS. ANGIE  STROLENY 
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    Credential           |    LVN
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    Telephone            |    361-881-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335V00000X
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    Taxonomy Name        |    Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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    License Number       |    R36534
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    96713
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    License Number State |    TX
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