# ABUNDANT AMBULANCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1093812018
- **Authorized official:** ROSALYN SMART (OWNER)
- **Authorized official phone:** (713) 252-0123

## Contact information

- **Practice address:** 8034 CULEBRA RD, 102, SAN ANTONIO, TX 78251-1882
- **Practice address phone:** (210) 444-9039
- **Mailing address:** PO BOX 300088, HOUSTON, TX 77230-0088
- **Mailing address phone:** (713) 252-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 101342 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 169884701 | — | TX |
| 01 | — | AMB902 | BLUE CROSS BLUE SHIELD | TX |