Organization
CITY OF FRIONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MERCADO (AUTHORIZED OFFICIAL)
(806) 250-2761
Entity
Organization
Contact information
Practice address
623 MAIN, FRIONA, TX 79035
(806) 250-2761
(806) 250-2893
Mailing address
623 MAIN, FRIONA, TX 79035
(806) 250-2761
(806) 250-2893
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
185003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054901
—
TX
01
—
505318
BCBS TEXAS
TX
Enumeration date
06/10/2005
Last updated
08/09/2023
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