Organization Name: | LA PALOMA EMS |
NPI Number: | 1972680734 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SYLVIA LYNE BARRERA-WIGINTON (CEO / EMS DIRECTOR) |
Mailing Address: | 145 Nw First St Premont |
State: | TX US |
Postal Code: | 783751290 |
Phone Number: | 3613482367 |
Fax Number: | 3613482547 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 05/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 3416L0300X1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |