Provider Demographics
NPI:1609272400
Name:WDS PUBLISHING
Entity Type:Organization
Organization Name:WDS PUBLISHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STOCKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-423-0639
Mailing Address - Street 1:3302 UP RIVER RD
Mailing Address - Street 2:21
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78408-3640
Mailing Address - Country:US
Mailing Address - Phone:903-423-0639
Mailing Address - Fax:
Practice Address - Street 1:3302 UP RIVER RD
Practice Address - Street 2:21
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78408-3640
Practice Address - Country:US
Practice Address - Phone:903-423-0639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health