# SOUTHERNCROSS AMBULANCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023177961
- **Authorized official:** CALIXTO JUVAL RIVERA ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (512) 373-5115

## Contact information

- **Practice address:** 1718 STATE HIGHWAY 46 SOUTH, NEW BRAUNFELS, TX 78131
- **Practice address phone:** (830) 629-2920
- **Mailing address:** PO BOX 311295, NEW BRAUNFELS, TX 78131-1295
- **Mailing address phone:** (512) 373-5115
- **Mailing address fax:** (888) 607-0857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 046006 | TX | — |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 02/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000592801 | — | TX |