Organization Name: | STAR EMS |
NPI Number: | 1710174289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODOLFO MARTINEZ (OWNER) |
Mailing Address: | 219 N Broadway Ste B Elsa |
State: | TX US |
Postal Code: | 78543 |
Phone Number: | 9562628511 |
Fax Number: | 9562628770 |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |