Organization Name: | LONESTAR EMT, LLC |
NPI Number: | 1154658623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUIS O GONZALEZ (MANAGING MEMBER) |
Mailing Address: | 469 Ave. Linares Eagle Pass |
State: | TX US |
Postal Code: | 788524957 |
Phone Number: | 8307581120 |
Fax Number: | 8307581192 |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |