Individual
DEDRICK CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1816 PRAIRIE KNOLL CT, B, AUSTIN, TX 78758-3528
(512) 998-1885
(512) 519-2220
Mailing address
1816 PRAIRIE KNOLL CT, B, AUSTIN, TX 78758-3528
(512) 998-1885
(512) 519-2220
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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