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Organization

CARDIO PULMONARY THERAPEUTICS AND DIAGNOSTICS, INC

Active
Other names
Med-Equip
Organization subpart
No

Provider details

NPI number
Authorized official
PAM STRAHL (BILLING OPERATIONS MANAGER)
(254) 772-6970
Entity
Organization

Contact information

Practice address
1217 S 1ST ST, SUITE B, TEMPLE, TX 76504-5760
(254) 771-1968
(254) 771-1661
Mailing address
PO BOX 8160, WACO, TX 76714-8160
(254) 772-6970
(254) 772-5652

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015847901
TX
01
087014901
MEDICAID CCP
TX
Enumeration date
08/18/2006
Last updated
07/09/2009
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