MEDICARE: JEFFREY R LYNN

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	084500	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1437150554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY R LYNN

Provider Business Mailing Address
First Line	:	8907 ENDICOTT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-2711
Country	:	US
Telephone Number	:	713-660-0992
Fax Number	:	713-660-0992

Provider Business Practice Location Address
First Line	:	8907 ENDICOTT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-2711
Country	:	US
Telephone Number	:	713-661-4367
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR ADMINISTRATION
Name	:	JEFFREY R LYNN
Credential	:
Telephone Number	:	713-660-0992

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	06/24/2008

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