Organization
WAYSIDE EMERGENCY TEAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN STEVENS (TREASURER)
(806) 764-3354
Entity
Organization
Contact information
Practice address
3407 CO RD 5, WAYSIDE, TX 79094-0131
(806) 764-3354
(806) 764-3356
Mailing address
PO BOX 131, WAYSIDE, TX 79094-0131
(806) 764-3354
(806) 764-3356
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
006002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000743701
—
TX
01
—
AMB782
BCBS
TX
Enumeration date
06/20/2005
Last updated
07/16/2008
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