| Organization Name: | BIG BEND AMBULANCE, PLLC |
| NPI Number: | 1124370283 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN MICHELLE BOSTICK (OWNER/ADMINISTRATOR) |
| Mailing Address: | 1300 E Us Hwy 90 Alpine |
| State: | TX US |
| Postal Code: | 79830 |
| Phone Number: | 4328379977 |
| Fax Number: | 8668379924 |
| NPI Enumeration Date: | 10/12/2012 |
| NPI Last Update Date: | 10/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |