Organization
METROCARE SERVICES - AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE KNUPPLE (GENERAL MANAGER)
(325) 691-8906
Entity
Organization
Contact information
Practice address
4100 ED BLUESTEIN BLVD, SUITE 100, AUSTIN, TX 78721-2300
(512) 389-2144
(512) 693-8277
Mailing address
PO BOX 26018, DEPARTMENT 8002, BEAUMONT, TX 77720-6018
(325) 691-8906
(325) 691-1547
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
300504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB641
BLUE CROSS BLUE SHEILD
TX
01
—
P00083967
RAILROAD MEDICARE
TX
Enumeration date
07/26/2005
Last updated
11/28/2007
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