Individual
NICKOLAS RESHAY MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 LANGLEY AVE, EVERMAN, TX 76140-4504
(850) 982-7554
Mailing address
340 LANGLEY AVE, EVERMAN, TX 76140-4504
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
509767G
TX
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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