Organization
MEDIVAN EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS GARZA JR. (OWNER/ DIRECTOR)
(361) 851-0355
Entity
Organization
Contact information
Practice address
5151 FLYNN PKWY STE 412G, CORPUS CHRISTI, TX 78411-4367
(361) 851-0355
(361) 334-2510
Mailing address
PO BOX 60028, CORPUS CHRISTI, TX 78466-0028
(361) 851-0355
(361) 334-2510
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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