Organization
WEST TEXAS AMBULANCE SERVICE
Active
Other names
MICHAEL L SCUDDER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L SCUDDER EMTP (OWNER)
(432) 837-1119
Entity
Organization
Contact information
Practice address
106 E BROWN AVE, ALPINE, TX 79830
(432) 837-1119
Mailing address
PO BOX 338, ALPINE, TX 79831-0338
(432) 837-1119
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
022001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000513306
BLUE CROSS BLUE SHIELD
TX
05
—
000309701
—
TX
01
—
0005156450
AETNA
TX
Enumeration date
03/20/2007
Last updated
04/12/2012
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