Self Richard Dba, NPI 1003062472
Private Vehicle in Fort Worth, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1003062472
NPI Entity Type Organization
Provider Name Self Richard Dba
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6701 Calmont Ave Apt 101, Fort Worth, TX, US
Provider Mailing Address 6701 Calmont Ave Apt 101, Fort Worth, TX, US, 761164239
Is Sole Proprietor? No
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Organization Official

Official Name MR. Richard Ray Baker SR.
Official Position HOME HEALTH NURSE AIDE
Phone 817-304-8292

Primary Taxonomy

Taxonomy Code

347C00000X

Taxonomy Name Private Vehicle
Classification

Private Vehicle

Group

Transportation Services

License No. 09332825
License State TX
Description An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Business Address

Self Richard Dba
6701 Calmont Ave Apt 101

Fort Worth, TX, US

Phone: 817-304-2892
Fax: 817-246-4764

Mailing Address

Self Richard Dba
6701 Calmont Ave Apt 101
Fort Worth, TX, US
ZIP 761164239
Phone: 817-304-2892
Fax: 817-246-4764

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

320700000X

Residential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

09332825 TX No

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