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Organization

ON CALL TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JILL RASBERRY NORRIS (EXECUTIVE DIRECTOR)
(806) 790-1008
Entity
Organization

Contact information

Practice address
6410 ERSKINE ST, LUBBOCK, TX 79416-3362
(806) 790-1008
(806) 589-4986
Mailing address
6410 ERSKINE ST, LUBBOCK, TX 79416
(806) 790-1008
(806) 589-4986

Taxonomy

Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
172A00000X
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32056728465
TX
Enumeration date
10/28/2016
Last updated
10/28/2016
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