Organization
OLD GLORY MEDICAL TRANSPORTATION
Active
Other names
Old Glory Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE TERRY (OWNER)
(903) 841-3992
Entity
Organization
Contact information
Practice address
916 SUCCESS ST, GILMER, TX 75644-3246
(903) 841-3992
Mailing address
916 SUCCESS ST, GILMER, TX 75644-3246
(903) 841-3992
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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