| Organization Name: | S TX LIFESTAR AMBULANCE SRVC |
| NPI Number: | 1184743015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEYANIRA LOPEZ (PRESIDENT) |
| Mailing Address: | 4839 Old Escobares Hwy 83 Roma |
| State: | TX US |
| Postal Code: | 78584 |
| Phone Number: | 9568471002 |
| Fax Number: | 9568471317 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 08/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 214004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |