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Individual

BIDDLE ROYAL MEDLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 SAINT IVES LN, LEWISVILLE, TX 75056-5092
(817) 521-1186
Mailing address
6805 MAIN ST, STE 430 #673, THE COLONY, TX 75056
(817) 521-1186

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
343900000X
Non-emergency Medical Transport (VAN)
Primary
TX
344600000X
Taxi
347C00000X
Private Vehicle

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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