Organization
ASPEN MEDICAL USA INC
Active
Organization
ASPEN MEDICAL USA INC
Active
Parent organization
ASPEN MEDICAL USA INC
Other names
Aspen Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPEN MEDICAL USA INC
Authorized official
MR. WAYNE R JONES (DIRECTOR OF OPERATIONS)
(210) 561-5777
Entity
Organization
Contact information
Practice address
2662 ENCINO PARK, EAGLE PASS, TX 78852-3214
(830) 776-5072
(866) 669-3829
Mailing address
9901 W IH 10, STE 690, SAN ANTONIO, TX 78230-2246
(210) 561-5777
(866) 669-3829
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3630576-01
—
TX
01
—
3630576-02
CSHCN - CHILDREN SPECIAL HEALTHCARE NEEDS - MEDICAID
TX
01
—
AM1512
BCBS
TX
Enumeration date
08/27/2015
Last updated
11/07/2016
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