Organization
VANCE FAMILY LLP
Active
Other names
Medcare Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (BUSINESS DEVELOPER)
(972) 554-9300
Entity
Organization
Contact information
Practice address
920 BLUEBONNET DR, STE 101, IRVING, TX 75060-4501
(972) 554-9300
(972) 554-9302
Mailing address
920 BLUEBONNET DR, STE 101, IRVING, TX 75060-4501
(972) 554-9300
(972) 554-9302
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057102
TDH LICENSE
TX
01
—
AMB640
BCBS PROVIDER NUMBER
TX
Enumeration date
05/23/2005
Last updated
08/22/2020
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