Provider Demographics
NPI:1356695423
Name:TEXCARE OXYGEN SUPPLY LLC, DBA TEXCAREGIVERS
Entity type:Organization
Organization Name:TEXCARE OXYGEN SUPPLY LLC, DBA TEXCAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-866-0100
Mailing Address - Street 1:2566 MACARTHUR VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4448
Mailing Address - Country:US
Mailing Address - Phone:210-340-1055
Mailing Address - Fax:210-340-1266
Practice Address - Street 1:2566 MACARTHUR VW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4448
Practice Address - Country:US
Practice Address - Phone:210-340-1055
Practice Address - Fax:210-340-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care