| Organization Name: | DILLEY AMBULANCE SERVICE, INC |
| NPI Number: | 1427392646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA LINDA VILLANUEVA (OWNER) |
| Mailing Address: | 211 W Miller St Dilley |
| State: | TX US |
| Postal Code: | 780173819 |
| Phone Number: | 8309656891 |
| Fax Number: | 8309651769 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000513 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |