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NPI Code Detail

MEDICARE: CITY OF IRAAN

MEDICARE: CITY OF IRAAN
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
1341600000XAmbulance186005TX

Other Identifiers

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

General Provider Information

NPI Number : 1679556211
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF IRAAN
Provider Business Mailing Address
First Line : 8300 BISSONNET ST
Second Line : STE 205
City : HOUSTON
State : TX
Zip : 77074-3900
Country : US
Telephone Number : 713-773-4355
Fax Number : 713-773-4363
Provider Business Practice Location Address
First Line : 509 E 6TH ST.
Second Line :
City : IRAAN
State : TX
Zip : 79744
Country : US
Telephone Number : 432-639-2952
Fax Number : 432-639-2966
Authorized Official
Title or Position : DIRECTOR
Name : MRS. CYNTHIA GREEN
Credential :
Telephone Number : 432-639-2952
Provider Enumeration Date : 11/29/2005
Last Update Date : 06/16/2008

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Directions to “CITY OF IRAAN ” Practice Location

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