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General NPI Number Information
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NPI Number | 1154336972
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL TRANSFER
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3005 W COMMERCE ST SUITE 2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3781
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Country | US
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Telephone | 210-438-5253
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Fax | 210-438-0243
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Provider Business Mailing Address
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Address Line | 5315 FM 1960 RD W STE B SUITE 234
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City | HOUSTON
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State | TX
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Zip | 77069-4410
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Country | US
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Telephone | 713-680-3606
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Fax | 832-201-8973
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELYN SMITH
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Credential |
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Telephone | 210-438-5253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 800163
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License Number State | TX
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