MEDICARE: ASPEN MEDICAL USA INC

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		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AM1512	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528435302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN MEDICAL USA INC

Provider Business Mailing Address
First Line	:	9901 W IH 10
Second Line	:	STE 690
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2246
Country	:	US
Telephone Number	:	210-561-5777
Fax Number	:	866-669-3829

Provider Business Practice Location Address
First Line	:	2662 ENCINO PARK
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-3214
Country	:	US
Telephone Number	:	830-776-5072
Fax Number	:	866-669-3829

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. WAYNE R JONES
Credential	:
Telephone Number	:	210-561-5777

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	11/07/2016

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Directions to “ASPEN MEDICAL USA INC ” Practice Location

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