Provider Demographics
NPI:1851622641
Name:CENTRAL TEXAS OXYGEN 24/7
Entity Type:Organization
Organization Name:CENTRAL TEXAS OXYGEN 24/7
Other - Org Name:CENTRAL TEXAS OXYGEN 24/7
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:C
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-778-5423
Mailing Address - Street 1:1686 MORGANS POINT RD.
Mailing Address - Street 2:
Mailing Address - City:MORGANS POINT RESORT
Mailing Address - State:TX
Mailing Address - Zip Code:76513
Mailing Address - Country:US
Mailing Address - Phone:254-742-0800
Mailing Address - Fax:254-742-0807
Practice Address - Street 1:1686 MORGANS POINT RD.
Practice Address - Street 2:
Practice Address - City:MORGANS POINT RESORT
Practice Address - State:TX
Practice Address - Zip Code:76513
Practice Address - Country:US
Practice Address - Phone:254-742-0800
Practice Address - Fax:254-742-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies