Organization
THE CHEST VEST COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT NICHOLS (OWNER)
(866) 984-0165
Entity
Organization
Contact information
Practice address
6301 MANCHACA RD STE M, AUSTIN, TX 78745-4948
(512) 967-3465
(512) 870-9784
Mailing address
6301 MANCHACA RD STE M, AUSTIN, TX 78745-4948
(512) 967-3465
(512) 870-9784
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7566300001
—
TX
Enumeration date
06/14/2016
Last updated
12/12/2019
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