Organization
TAC MED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA CANTU (CEO)
(361) 882-4290
Entity
Organization
Contact information
Practice address
5315 EVERHART RD, SUITE 8, CORPUS CHRISTI, TX 78411-4865
(361) 882-4290
(361) 882-4097
Mailing address
PO BOX 1646, MISSION, TX 78573-0029
(361) 882-4290
(361) 882-4097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947616
—
TX
01
—
AMB967
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/02/2008
Last updated
04/07/2017
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