Organization
MEDXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER PAMBID REYES (OWNER/MANAGER)
(707) 771-0354
Entity
Organization
Contact information
Practice address
1642 N TEXAS ST, SUITE D, FAIRFIELD, CA 94533-3889
(707) 771-0354
(707) 422-1784
Mailing address
PO BOX 2645, FAIRFIELD, CA 94533-0264
(707) 771-0354
(707) 422-1784
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A7790877
CA
Other
Enumeration date
07/09/2010
Last updated
04/21/2011
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