Provider Demographics
NPI:1952675613
Name:PRIO-CARE
Entity Type:Organization
Organization Name:PRIO-CARE
Other - Org Name:PRIORITY CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COORDINATOR / PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-385-5966
Mailing Address - Street 1:105 RIDGE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-6414
Mailing Address - Country:US
Mailing Address - Phone:210-724-7217
Mailing Address - Fax:830-997-8714
Practice Address - Street 1:405 S WASHINGTON ST # 306
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4636
Practice Address - Country:US
Practice Address - Phone:830-460-1000
Practice Address - Fax:830-997-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport