Provider Demographics
NPI:1063639565
Name:VANCE FAMILY LLP
Entity Type:Organization
Organization Name:VANCE FAMILY LLP
Other - Org Name:MEDCARE MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:972-554-9300
Mailing Address - Street 1:920 BLUEBONNET DR STE 101
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-4501
Mailing Address - Country:US
Mailing Address - Phone:972-554-9300
Mailing Address - Fax:972-554-9302
Practice Address - Street 1:920 BLUEBONNET DR STE 101
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-4501
Practice Address - Country:US
Practice Address - Phone:972-554-9300
Practice Address - Fax:972-554-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0571023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB270Medicare ID - Type UnspecifiedMEDICARE