Provider Demographics
NPI:1043698327
Name:CRC COMPRESSION SOLUTIONS LLC
Entity type:Organization
Organization Name:CRC COMPRESSION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-585-1316
Mailing Address - Street 1:200 N CARRIER PKWY
Mailing Address - Street 2:STE# 200A
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5476
Mailing Address - Country:US
Mailing Address - Phone:469-585-1316
Mailing Address - Fax:
Practice Address - Street 1:200 N CARRIER PKWY
Practice Address - Street 2:STE# 200A
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5476
Practice Address - Country:US
Practice Address - Phone:469-585-1316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies