MEDICARE: TEXCALIBER DBA CALIBER PATIENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1255739116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXCALIBER DBA CALIBER PATIENT CARE

Provider Business Mailing Address
First Line	:	4417 OMALLEY DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3342
Country	:	US
Telephone Number	:	361-739-9770
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 OMALLEY DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3342
Country	:	US
Telephone Number	:	361-739-9770
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RODNEY BUCKWALTER
Credential	:
Telephone Number	:	361-739-9770

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	06/03/2015

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Directions to “TEXCALIBER DBA CALIBER PATIENT CARE ” Practice Location

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