Organization
CARNES PROFESSIONAL SERVICES L.L.C.
Active
Other names
Legacy EMS Legends EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WAYNE CARNES (CEO/DIRECTOR)
(979) 703-6681
Entity
Organization
Contact information
Practice address
707 TEXAS AVE S, STE 218 D, COLLEGE STATION, TX 77840-1967
(979) 703-6681
(979) 703-6676
Mailing address
707 TEXAS AVE S, STE 218 D, COLLEGE STATION, TX 77840-1967
(979) 703-6681
(979) 703-6676
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
800133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180552501
—
TX
01
—
AMB831
BLUE CROSS BLUE SHIELD
TX
01
—
P00325925
RAILROAD MEDICARE
TX
Enumeration date
06/07/2006
Last updated
10/16/2015
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