| Organization Name: | BRONZESTAR AMBULANCE SERVICE LLC |
| NPI Number: | 1932428257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA MEDINA (CHIEF EXECUTIVE OFFICE/ADMINISTRATO) |
| Mailing Address: | 5816 East Drive Unit A Bronzestar Ambulance Service Llc Laredo |
| State: | TX US |
| Postal Code: | 780416851 |
| Phone Number: | 9567123667 |
| Fax Number: | 9567536013 |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | 1000454 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |