Organization
MEDICAL TRAUMA SPECIALIST
Active
Organization
MEDICAL TRAUMA SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DIAZ (DIRECTOR)
(956) 668-9800
Entity
Organization
Contact information
Practice address
1708 N CAGE BLVD, PHARR, TX 78577-2528
(956) 668-9800
(956) 668-8438
Mailing address
PO BOX 4582, MCALLEN, TX 78502-4582
(956) 668-9800
(956) 668-8438
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
300221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000708001
—
TX
Enumeration date
02/21/2007
Last updated
05/29/2008
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