MEDICARE: CARTER ALAN JAYNES SR. PARAMEDIC

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	343900000X	Non-emergency Medical Transport (VAN)	26997534	TX

General Provider Information

NPI Number	:	1760229694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARTER ALAN JAYNES SR. PARAMEDIC

Provider Business Mailing Address
First Line	:	225 HIGHLAND PL
Second Line	:
City	:	CIBOLO
State	:	TX
Zip	:	78108-3633
Country	:	US
Telephone Number	:	210-347-9213
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 HIGHLAND PL
Second Line	:
City	:	CIBOLO
State	:	TX
Zip	:	78108-3633
Country	:	US
Telephone Number	:	210-347-9213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	07/09/2024

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