Provider Demographics
NPI:1598090037
Name:EXCALIBUR MEDICAL SERVICES
Entity Type:Organization
Organization Name:EXCALIBUR MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-6321
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78505-1568
Mailing Address - Country:US
Mailing Address - Phone:956-631-6321
Mailing Address - Fax:956-631-6349
Practice Address - Street 1:721 S BICENTENNIAL BLVD STE B1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5219
Practice Address - Country:US
Practice Address - Phone:956-631-6321
Practice Address - Fax:956-631-6349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport