Provider Demographics
NPI:1730115387
Name:MEDIC 1 LLP
Entity Type:Organization
Organization Name:MEDIC 1 LLP
Other - Org Name:MEDIC 1 EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-225-3540
Mailing Address - Street 1:1001 S 10TH ST
Mailing Address - Street 2:STE G #800
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3805 PLANTATION GROVE BLVD
Practice Address - Street 2:STE 36
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6211
Practice Address - Country:US
Practice Address - Phone:956-581-6070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108056341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB285Medicare ID - Type UnspecifiedMEDICARE NUMBER