Provider Demographics
NPI:1487088597
Name:MEDIXX AND ASSOCIATES TEXAS, LLC
Entity type:Organization
Organization Name:MEDIXX AND ASSOCIATES TEXAS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-538-8505
Mailing Address - Street 1:PO BOX 1983
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30475-1983
Mailing Address - Country:US
Mailing Address - Phone:912-538-8505
Mailing Address - Fax:912-538-8545
Practice Address - Street 1:1201 N INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2924
Practice Address - Country:US
Practice Address - Phone:512-388-7100
Practice Address - Fax:512-388-7103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport