Organization
CITY OF GARLAND TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON JONES (CFE-REVENUE RECOVERY)
(972) 205-2686
Entity
Organization
Contact information
Practice address
200 N 5TH ST, GARLAND, TX 75040-6314
(972) 205-2000
(972) 205-2122
Mailing address
PO BOX 733881, DALLAS, TX 75373-3881
(833) 810-5004
(888) 972-9641
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109575401
—
TX
01
—
505241
BLUE CROSS BLUE SHIELD
TX
01
—
826590714
RAILROAD MEDICARE
TX
Enumeration date
06/13/2006
Last updated
11/22/2017
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