Organization Name: | LASAFAT EMS INC |
NPI Number: | 1003172875 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ORA ABBOTT (PRESIDENT) |
Mailing Address: | 1941 7th St Suite A Bay City |
State: | TX US |
Postal Code: | 774144237 |
Phone Number: | 9793230516 |
Fax Number: | 7137715081 |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |