Organization
CHEST DIAGNOSTIC THERAPEUTIC SVCS & TRANSIT NURSING OF TX, INC
Active
Other names
Chest Diagnostic Therapeutic Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H WRAGGE RRT (OWNER/CEO)
(254) 562-3803
Entity
Organization
Contact information
Practice address
3205A W 2ND AVE, CORSICANA, TX 75110-2409
(903) 872-3611
(903) 872-3465
Mailing address
PO BOX 289, MEXIA, TX 76667-0289
(254) 562-3803
(254) 562-2372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0011681
TX
332BC3200X
Customized Equipment (DME)
ATP 915
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0063038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086787102
—
TX
05
—
086787103
—
TX
01
—
519093
BCBS PROVIDER NUMBER
TX
Enumeration date
06/28/2005
Last updated
03/01/2012
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