Individual
JESSICA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N INDIANA AVE, MERCEDES, TX 78570-2114
(956) 998-2413
Mailing address
810 N INDIANA AVE, MERCEDES, TX 78570-2114
(956) 998-2413
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
344600000X
Taxi
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/31/2022
Last updated
03/07/2022
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