| Organization Name: | EAGLE AMBULANCE LLC |
| NPI Number: | 1023348471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGUEL SALAZAR (OWNER) |
| Mailing Address: | 3201 G N Highway 146 Baytown |
| State: | TX US |
| Postal Code: | 775202673 |
| Phone Number: | 7139279083 |
| Fax Number: | 7132909047 |
| NPI Enumeration Date: | 01/07/2010 |
| NPI Last Update Date: | 02/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |