# DIRECT MOBILITY AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1396187035
- **Authorized official:** TINA LOPEZ (OWNER)
- **Authorized official phone:** (210) 542-7787

## Contact information

- **Practice address:** 24385 WILDERNESS OAK, 9404, SAN ANTONIO, TX 78258-7900
- **Practice address phone:** (210) 542-7787
- **Practice address fax:** (210) 592-6619
- **Mailing address:** 24385 WILDERNESS OAK, 9404, SAN ANTONIO, TX 78258-7900
- **Mailing address phone:** (210) 542-7787
- **Mailing address fax:** (210) 592-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000851 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013