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General NPI Number Information
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NPI Number | 1932492501
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Entity Type | Organization
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Legal Business Name | MEDI-CAB EXPRESS OF TEXAS, LP
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 2461 EL INDIO HWY
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City | EAGLE PASS
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State | TX
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Zip | 78852-5538
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Country | US
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Telephone | 830-352-2140
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Fax | 830-773-8772
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Provider Business Mailing Address
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Address Line | 2461 EL INDIO HWY
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City | EAGLE PASS
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State | TX
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Zip | 78852-5538
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Country | US
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Telephone | 830-352-2140
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Fax | 830-773-8772
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | JAMES CLARY
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Credential |
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Telephone | 830-773-0900
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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 | TX
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