MEDICARE: SEXTON ENTERPRISES DBA YELLOW CAB

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	344600000X	Taxi	2007-2008	TX

General Provider Information

NPI Number	:	1386813780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEXTON ENTERPRISES DBA YELLOW CAB

Provider Business Mailing Address
First Line	:	2307 ERSKINE ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-2007
Country	:	US
Telephone Number	:	806-765-5456
Fax Number	:

Provider Business Practice Location Address
First Line	:	2307 ERSKINE ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-2007
Country	:	US
Telephone Number	:	806-765-5456
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	RHONDA GLASS
Credential	:
Telephone Number	:	806-765-5456

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	02/29/2008

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