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NPI Code Detail

MEDICARE: MEDIC ONE CORPORATION

MEDICARE: MEDIC ONE CORPORATION
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
1341600000XAmbulance800142TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1800142OTHERTXEMS PROVIDER LICENSE

General Provider Information

NPI Number : 1487604195
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDIC ONE CORPORATION
Provider Business Mailing Address
First Line : 22323 FM 149 RD
Second Line :
City : MONTGOMERY
State : TX
Zip : 77356-4525
Country : US
Telephone Number : 713-252-9311
Fax Number : 281-288-7070
Provider Business Practice Location Address
First Line : 2810 LOUETTA RD
Second Line : #9
City : SPRING
State : TX
Zip : 77388-4648
Country : US
Telephone Number : 713-252-9311
Fax Number : 281-288-7070
Authorized Official
Title or Position : PRESIDENT
Name : MR. WILLIAM LESTER SWONKE
Credential : PARAMEDIC
Telephone Number : 713-252-9311
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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Directions to “MEDIC ONE CORPORATION ” Practice Location

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