Organization
WDS PUBLISHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STOCKERT (OWNER)
(903) 423-0639
Entity
Organization
Contact information
Practice address
3302 UP RIVER RD, 21, CORPUS CHRISTI, TX 78408-3640
(903) 423-0639
Mailing address
3302 UP RIVER RD, 21, CORPUS CHRISTI, TX 78408-3640
(903) 423-0639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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