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NPI Code Detail

MEDICARE: MED-SOLUTION SERVICES LLC

MEDICARE: MED-SOLUTION SERVICES LLC
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
1251E00000XHome Health AgencyTX
2251T00000XPACE Provider Organization
3261Q00000XClinic/Center
4324500000XSubstance Abuse Rehabilitation Facility
5343900000XNon-emergency Medical Transport (VAN)
6347C00000XPrivate Vehicle
7291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1699177576
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED-SOLUTION SERVICES LLC
Provider Business Mailing Address
First Line : 4000 INNOVATOR DR UNIT 19102
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-3897
Country : US
Telephone Number : 916-600-5262
Fax Number :
Provider Business Practice Location Address
First Line : 132 SOUTHWOOD DR
Second Line :
City : LANCASTER
State : TX
Zip : 75146-2826
Country : US
Telephone Number : 916-600-5262
Fax Number :
Authorized Official
Title or Position : CEO/FOUNDER
Name : TONYA R BUTLER-DAVIS
Credential :
Telephone Number : 916-600-5262
Provider Enumeration Date : 09/22/2014
Last Update Date : 09/22/2014

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Directions to “MED-SOLUTION SERVICES LLC ” Practice Location

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