Organization Name: | LOS FRESNOS AMBULANCE SERVICE, INC |
NPI Number: | 1346313327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GENE DANIELS (DIRECTOR) |
Mailing Address: | 200 N Brazil St Los Fresnos |
State: | TX US |
Postal Code: | 785663640 |
Phone Number: | 9562335007 |
Fax Number: | 9562338608 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 031014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |