Provider Demographics
NPI:1548527120
Name:ANGELINA O2 TESTING LLC
Entity type:Organization
Organization Name:ANGELINA O2 TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY THERAPIST, MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:903-473-8789
Mailing Address - Street 1:239 E QUITMAN ST STE B2
Mailing Address - Street 2:
Mailing Address - City:EMORY
Mailing Address - State:TX
Mailing Address - Zip Code:75440-2623
Mailing Address - Country:US
Mailing Address - Phone:844-805-4455
Mailing Address - Fax:
Practice Address - Street 1:239 E QUITMAN ST STE B2
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:TX
Practice Address - Zip Code:75440-2623
Practice Address - Country:US
Practice Address - Phone:844-805-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63241227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty