Organization
AMERICAN MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY RUTH PICAZO (BILLING MANAGER)
(409) 293-4242
Entity
Organization
Contact information
Practice address
2875 JIMMY JOHNSON BLVD STE 101, PORT ARTHUR, TX 77640-2002
(409) 293-4242
(409) 853-1108
Mailing address
2875 JIMMY JOHNSON BLVD STE 101, PORT ARTHUR, TX 77640-2002
(409) 293-4242
(409) 853-1108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084300501
—
TX
Enumeration date
11/15/2006
Last updated
11/01/2017
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