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General NPI Number Information
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NPI Number | 1184628752
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Entity Type | Organization
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Legal Business Name | TEAGUE HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 802 US HIGHWAY 84 EAST
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City | TEAGUE
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State | TX
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Zip | 75860-5142
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Country | US
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Telephone | 254-739-2536
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Fax | 832-778-5040
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Provider Business Mailing Address
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Address Line | PO BOX 599
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City | TEAGUE
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State | TX
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Zip | 75860-0599
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Country | US
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Telephone | 903-473-0927
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Fax | 832-778-5040
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Authorized Official
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Title or Position | EMS SUPERVISOR
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Name | WILLIAM FLIPPIN III
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Credential |
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Telephone | 254-739-2536
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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 | 081101
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License Number State | TX
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