Healthcare Provider Details

I. General information

NPI: 1760821805
Provider Name (Legal Business Name): DOLLAR CAB COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 BROOKS AVE.
ALAMOGORDO NM
88310
US

IV. Provider business mailing address

1220 BROOKS AVE
ALAMOGORDO NM
88310-7405
US

V. Phone/Fax

Practice location:
  • Phone: 575-434-8881
  • Fax: 575-434-1516
Mailing address:
  • Phone: 575-434-8881
  • Fax: 575-434-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number49762
License Number StateNM

VIII. Authorized Official

Name: MR. JAMES P. MOORE
Title or Position: OWNER
Credential:
Phone: 575-430-1610