Organization
EMS OF NUECES CANYON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN STEPHENS (ADMINISTRATOR)
(830) 591-3298
Entity
Organization
Contact information
Practice address
204 N LEON-KLINK AVE, CAMP WOOD, TX 78833
(830) 591-3298
(210) 653-8168
Mailing address
PO BOX 460, CAMP WOOD, TX 78833-0460
(830) 591-3298
(210) 653-8168
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
193002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517864
BCBS
TX
Enumeration date
01/02/2007
Last updated
03/19/2008
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