# LIFEGUARD AMBULANCE SERVICE OF TX, LLC

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

## Provider details

- **NPI number:** 1265586234
- **Authorized official:** MR. JOHN ROCHE (PRESIDENT)
- **Authorized official phone:** (850) 473-6776

## Contact information

- **Practice address:** 4355 N BELTWOOD PKWY, FARMERS BRANCH, TX 75244-3214
- **Practice address phone:** (850) 262-0154
- **Practice address fax:** (850) 473-0159
- **Mailing address:** PO BOX 1482, GULF BREEZE, FL 32562-1482
- **Mailing address phone:** (850) 262-0154
- **Mailing address fax:** (850) 473-0159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 057106 | TX | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020