# LIFE TECH AMBULANCE TRANSPORT SERVICES

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

## Provider details

- **NPI number:** 1457694077
- **Authorized official:** MR. GERARDO A MARTINEZ EMT B (OWNER OPERATOR)
- **Authorized official phone:** (830) 422-9574

## Contact information

- **Practice address:** 401 E 17TH ST, DEL RIO, TX 78840-3306
- **Practice address phone:** (830) 422-9574
- **Practice address fax:** (830) 488-6258
- **Mailing address:** 401 E 17TH ST, DEL RIO, TX 78840-3306
- **Mailing address phone:** (830) 422-9574
- **Mailing address fax:** (830) 488-6258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 25784431 | TX | Yes |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 04/02/2013