Organization
NORTH TEXAS CARDIOPULMONARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALAN BACCUS CRT, NPS, RPSGT (PRESIDENT/OWNER)
(940) 591-1496
Entity
Organization
Contact information
Practice address
1213 BENT OAKS CT, DENTON, TX 76210-3300
(940) 591-1496
(940) 591-1698
Mailing address
1213 BENT OAKS CT, DENTON, TX 76210-3300
(940) 591-1496
(940) 591-1698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0030844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519051
BLUE CROSS OF TEXAS
TX
Enumeration date
05/28/2005
Last updated
08/22/2020
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