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General NPI Number Information
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NPI Number | 1164609806
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Entity Type | Organization
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Legal Business Name | TEXAS GULF COAST EMS LLC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 5346 EAST FITH ST.
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City | KATY
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State | TX
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Zip | 77493
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Country | US
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Telephone | 409-682-2977
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Fax |
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Provider Business Mailing Address
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Address Line | P. O. BOX 65
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City | BEDIAS
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State | TX
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Zip | 77831-0065
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Country | US
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Telephone | 409-682-2977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAYELYNN FREEMAN VILLAREAL
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Credential |
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Telephone | 409-682-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000096
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License Number State | TX
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