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NPI 1770250409

NPI 1770250409 : TEXAS MOBILE MD SOLUTIONS, LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1770250409
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEXAS MOBILE MD SOLUTIONS, LLC 
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Dates
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    Enumeration Date     |    08/30/2021
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    Last Update Date     |    02/22/2024
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Provider Practice Location Address
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    Address Line         |    4801 WOODWAY DR STE 265W 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-1892
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    Country              |    US
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    Telephone            |    281-713-6550
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    Fax                  |    281-596-7287
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Provider Business Mailing Address
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    Address Line         |    4801 WOODWAY DR STE 265W 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77056-1892
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    Country              |    US
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    Telephone            |    281-713-6550
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    Fax                  |    281-596-7287
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Authorized Official
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    Title or Position    |    GENERAL MANAGER
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    Name                 |     JUSTIN MURREL MEDLEY 
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    Credential           |    
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    Telephone            |    281-713-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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