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NPI Code Detail

MEDICARE: SEAN C. MCLEOD DBA BLUE EMERGENCY MEDICAL SERVICES

MEDICARE: SEAN C. MCLEOD DBA BLUE EMERGENCY MEDICAL SERVICES
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
13416L0300XLand Ambulance1000005TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AMB863OTHERTXBCBS

General Provider Information

NPI Number : 1376768606
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEAN C. MCLEOD DBA BLUE EMERGENCY MEDICAL SERVICES
Provider Business Mailing Address
First Line : 2800 JEANETTA ST APT 1408
Second Line :
City : HOUSTON
State : TX
Zip : 77063-4037
Country : US
Telephone Number : 713-784-1715
Fax Number :
Provider Business Practice Location Address
First Line : 2800 JEANETTA ST APT 1408
Second Line :
City : HOUSTON
State : TX
Zip : 77063-4037
Country : US
Telephone Number : 713-784-1715
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SEAN C MCLEOD
Credential :
Telephone Number : 713-784-1715
Provider Enumeration Date : 04/13/2007
Last Update Date : 04/25/2008

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