# LUPITA MORENO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RIO GRANDE AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457658056
- **Authorized official:** LUPITA MORENO (OWNER)
- **Authorized official phone:** (830) 776-5202

## Contact information

- **Practice address:** 2320 DEL RIO BLVD STE D, EAGLE PASS, TX 78852-3980
- **Practice address phone:** (830) 776-5202
- **Practice address fax:** (830) 776-5329
- **Mailing address:** 2320 DEL RIO BLVD SUITE D, EAGLE PASS, TX 78852
- **Mailing address phone:** (830) 776-5202
- **Mailing address fax:** (830) 776-5329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000556 | TX | Yes |

## Other

- **Enumeration date:** 02/16/2011
- **Last updated:** 03/15/2011