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NPI Code Detail

MEDICARE: RIVER CITY ASSISTING, LLC

MEDICARE: RIVER CITY ASSISTING, 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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1891160032
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER CITY ASSISTING, LLC
Provider Business Mailing Address
First Line : 214 RILEY LN
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Provider Business Practice Location Address
First Line : 214 RILEY LN
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624-3562
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Authorized Official
Title or Position : OWNER
Name : MR. CARLOS SANDOVAL
Credential : CSFA
Telephone Number : 512-470-2091
Provider Enumeration Date : 12/13/2015
Last Update Date : 08/10/2021

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Directions to “RIVER CITY ASSISTING, LLC ” Practice Location

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