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Mr. Ethan Enzo Liu
Non-emergency Medical Transport (VAN) in Parker, Texas
NPI 1275385601

Ethan Enzo Liu is a Non-emergency Medical Transport (VAN) based in Parker, TX. Ethan Enzo Liu practices in Parker, TX. The NPI Number for Ethan Enzo Liu is 1275385601 and holds a License No. TDY0207 (Texas).

The current practice location address for Ethan Enzo Liu is 4702 Boulder Dr, Parker, TX and can be reached out via phone at 805-559-7777.

Location: 4702 Boulder Dr, Parker, TX, 75002-2724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275385601
Provider Name
Ethan Enzo Liu
Credential
Provider Entity Type
Individual
Gender
Male
Address
4702 Boulder Dr, Parker, TX, 75002-2724
Phone Number
805-559-7777
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4702 Boulder Dr
City
Parker
State
Texas
Zip
75002-2724
Phone Number
805-559-7777
Fax Number
person
Provider Business Mailing Address Details
Address
4702 Boulder Dr
City
Parker
State
Texas
Zip
75002-2724
Phone Number
805-559-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
TDY0207 (Texas)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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