Organization Name: | CAMINO REAL AMBULANCE INC. |
NPI Number: | 1962664524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ESEQUIEL HERNANDEZ AVILA (PRESIDENT) |
Mailing Address: | 403 E Nopal St Ste A Carrizo Springs |
State: | TX US |
Postal Code: | 788343333 |
Phone Number: | 8308760066 |
Fax Number: | 8308760072 |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |