Organization Name: | CHEST DIAGNOSTIC THERAPEUTIC SERVICES, INC |
NPI Number: | 1083611438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM H WRAGGE (OWNER/CEO) |
Mailing Address: | 507 N Highway 77 Ste 412 Waxahachie |
State: | TX US |
Postal Code: | 751651885 |
Phone Number: | 9729230490 |
Fax Number: | 9729230491 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0063040 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |