# LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC

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

## Provider details

- **NPI number:** 1396003513
- **Authorized official:** JOHN W ROCHE (CEO/OWNER)
- **Authorized official phone:** (205) 949-1719

## Contact information

- **Practice address:** 4951 AIRPORT PARKWAY, SUITE 710, ADDISON, TX 75001-6616
- **Practice address phone:** (205) 380-2065
- **Mailing address:** PO BOX 11361, BIRMINGHAM, AL 35202-1361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000665 | TX | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 04/25/2012