MEDICARE: TAMMY GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	101506	TX

General Provider Information

NPI Number	:	1205928462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMMY GARCIA

Provider Business Mailing Address
First Line	:	PO BOX 683026
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77268-3026
Country	:	US
Telephone Number	:	281-586-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	13331 VETERANS MEMORIAL DR STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1610
Country	:	US
Telephone Number	:	281-586-7934
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TAMMY GARCIA
Credential	:
Telephone Number	:	281-586-7934

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	03/25/2010

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