1851622641 NPI number — CENTRAL TEXAS OXYGEN 24/7

Table of content: CHRISTINA HELEN LACROIX P.A. (NPI 1740660364)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851622641 NPI number — CENTRAL TEXAS OXYGEN 24/7

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL TEXAS OXYGEN 24/7
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851622641
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1686 MORGANS POINT RD.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANS POINT RESORT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-742-0800
Provider Business Mailing Address Fax Number:
254-742-0807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1686 MORGANS POINT RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANS POINT RESORT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-742-0800
Provider Business Practice Location Address Fax Number:
254-742-0807
Provider Enumeration Date:
01/19/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DICKSON
Authorized Official First Name:
CLINTON
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
254-778-5423

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)