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NPI 1861213480

NPI 1861213480 : MEDMOBILE LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1861213480
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDMOBILE LLC 
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Dates
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    Enumeration Date     |    10/17/2024
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    Last Update Date     |    12/09/2024
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Provider Practice Location Address
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    Address Line         |    7607 EAGLE LEDGE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78249-2787
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    Country              |    US
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    Telephone            |    832-279-8679
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5460 BABCOCK RD STE 120 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78240-3400
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    Country              |    US
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    Telephone            |    210-986-6929
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FRACTIONAL COO
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    Name                 |     MELISSA  FRANKLIN 
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    Credential           |    
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    Telephone            |    956-586-2712
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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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