Provider Demographics
NPI:1205065133
Name:PROFESSIONAL OXIMETRY SOLUTIONS
Entity type:Organization
Organization Name:PROFESSIONAL OXIMETRY SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRONGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:214-228-7349
Mailing Address - Street 1:8404 WARREN PKWY
Mailing Address - Street 2:APT 2118
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7075
Mailing Address - Country:US
Mailing Address - Phone:888-694-7658
Mailing Address - Fax:888-694-4655
Practice Address - Street 1:8404 WARREN PKWY
Practice Address - Street 2:APT 2118
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7075
Practice Address - Country:US
Practice Address - Phone:888-694-7658
Practice Address - Fax:888-694-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTSP48Medicare UPIN