Organization
OUTSOURCE DIAGNOSTICS LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WAGNER (OFFICE/BILLING MANAGER)
(979) 266-9497
Entity
Organization
Contact information
Practice address
5826 ESPLANADE DR STE 202, CORPUS CHRISTI, TX 78414-4198
(361) 288-1855
(361) 232-5695
Mailing address
5826 ESPLANADE DR STE 202, CORPUS CHRISTI, TX 78414-4198
(361) 288-1855
(361) 232-5695
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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