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General NPI Number Information
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NPI Number | 1588602585
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Entity Type | Organization
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Legal Business Name | HMKC ENTERPRISE, LP
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4926 RESEARCH DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-5006
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Country | US
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Telephone | 210-877-1348
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Fax | 210-558-4703
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Provider Business Mailing Address
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Address Line | PO BOX 1553
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City | KYLE
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State | TX
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Zip | 78640-1553
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Country | US
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Telephone | 512-295-7978
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Fax | 512-295-7985
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. MICHAEL RYAN WEST
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Credential |
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Telephone | 512-295-7978
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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 | 800057
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License Number State | TX
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