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NPI 1619408523

NPI 1619408523 : ALAMO CITY EMS / TRANSPORT : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1619408523
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAMO CITY EMS / TRANSPORT 
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Dates
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    Enumeration Date     |    03/22/2017
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    Last Update Date     |    04/12/2017
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Provider Practice Location Address
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    Address Line         |    407 SADDLEBROOK DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245-2306
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    Country              |    US
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    Telephone            |    210-584-8979
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    407 SADDLEBROOK DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245-2306
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    Country              |    US
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    Telephone            |    210-584-8979
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |     RONNIE NATHEN MUNIZ 
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    Credential           |    
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    Telephone            |    210-584-8979
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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       |    
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    License Number State |    TX
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