| Organization Name: | X-TRA MILE AMBULANCE SERVIC4E |
| NPI Number: | 1053313320 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NEIL CRUZ (OWNER) |
| Mailing Address: | 300 E Expy 83 Ste J Pharr |
| State: | TX US |
| Postal Code: | 785776500 |
| Phone Number: | 9567832709 |
| Fax Number: | 9567021145 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 108067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |