Organization
MCLEAN EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA LEE (TREASURER BOOKKEEPER)
(806) 779-2484
Entity
Organization
Contact information
Practice address
113 2ND ST, MCLEAN, TX 79057
(806) 779-2872
(806) 779-2777
Mailing address
3005 S LAMAR BLVD, SUITE D109-372, AUSTIN, TX 78704
(866) 766-9471
(512) 275-3725
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
090004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TY4571
HEALTHNET
TX
Enumeration date
07/18/2006
Last updated
08/22/2020
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