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Organization
TRI-CITY TECHNOLOGY SYSTEM INC
Active
Organization
TRI-CITY TECHNOLOGY SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA WARD (EXECUTIVE DIRECTOR)
(469) 271-2012
Entity
Organization
Contact information
Practice address
201 W BELT LINE RD STE C700, CEDAR HILL, TX 75104-1100
(469) 271-2012
(972) 291-7670
Mailing address
201 W BELT LINE RD STE C700, CEDAR HILL, TX 75104-1100
(469) 271-2012
(972) 291-7670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4692712012
MEDICAID
TX
Enumeration date
12/30/2013
Last updated
12/30/2013
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