Sabas Garcia-Espino

Individual provider Active NPI Driver · Dodge City, KS

NPI 1003391996 · NPPES record last updated Sep 26, 2018

Key facts

NPI
1003391996
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
K03-37-9324 (KS)
Practice address
1714 Avenue B
Dodge City, KS 67801-4511
Phone
(620) 202-0802
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X K01-11-1884 KS
Driver 172A00000X K03-37-9324 KS Yes

Addresses

Primary practice location

1714 Avenue B
Dodge City, KS 67801-4511

Mailing address

1714 Avenue B
Dodge City, KS 67801-4511
Phone (620) 202-0802

Other providers in Dodge City, KS

All providers in Dodge City, KS · Driver in Kansas

Sources for this page

Verify at the official NPI Registry.