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NPI 1548823263

NPI 1548823263 : BEXAR COUNTY EMERGENCY SERVICES DISTRICT NUMBER TWO : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1548823263
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEXAR COUNTY EMERGENCY SERVICES DISTRICT NUMBER TWO 
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Dates
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    Enumeration Date     |    04/18/2019
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    14515 OMICRON DR. 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245
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    Country              |    US
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    Telephone            |    210-688-2406
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14515 OMICRON DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245-4299
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    Country              |    US
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    Telephone            |    210-688-2406
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    Fax                  |    210-688-2116
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Authorized Official
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    Title or Position    |    ASSISTANT CHIEF
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    Name                 |    MR. MARK EARL MONTGOMERY 
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    Credential           |    APRN, LP
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    Telephone            |    210-556-4466
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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       |    
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    License Number State |    
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