# LAREDO CRITICAL CARE AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1093865735
- **Authorized official:** HECTOR G SALAS (MANAGER)
- **Authorized official phone:** (956) 795-0639

## Contact information

- **Practice address:** 707 E CALTON RD, SUITE 203, LAREDO, TX 78041-3638
- **Practice address phone:** (956) 795-0639
- **Practice address fax:** (956) 795-0364
- **Mailing address:** 707 E CALTON RD, SUITE 203, LAREDO, TX 78041-3638
- **Mailing address phone:** (956) 795-0639
- **Mailing address fax:** (956) 795-0364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 3416L0300X | TX | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1839797-01 | — | TX |
| 01 | — | AMB845 | BCBS | TX |