Organization
TEXAS EZ RIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GRAY VILLANUEVA JR. (MEMBER)
(210) 689-9312
Entity
Organization
Contact information
Practice address
4811 FAIRFORD DR, SAN ANTONIO, TX 78228-1013
(210) 689-9312
Mailing address
4811 FAIRFORD DR, SAN ANTONIO, TX 78228-1013
(210) 689-9312
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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