Organization
X-RAY ON WHEELS, INC.
Active
Organization
X-RAY ON WHEELS, INC.
Active
Parent organization
X-RAY ON WHEELS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
X-RAY ON WHEELS, INC.
Authorized official
MRS. BRIDGET DUNBAR RN (COO/OWNER)
(361) 881-9142
Entity
Organization
Contact information
Practice address
4929 BURNEY DR, STE #100, CORPUS CHRISTI, TX 78411-2708
(361) 881-9142
(361) 881-9202
Mailing address
PO BOX 60577, CORPUS CHRISTI, TX 78466-0577
(361) 881-9142
(361) 881-9202
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
96713
TX
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R12988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086070201
—
TX
05
—
086070202
—
TX
01
—
459818
BCBS
TX
01
—
630000371
RAILROAD MEDICARE GBA
TX
01
—
P00814456
MEDICARE RAILROAD
TX
Enumeration date
09/29/2006
Last updated
11/13/2012
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