# LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC

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

## Provider details

- **NPI number:** 1457716037
- **Authorized official:** BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (833) 703-2294

## Contact information

- **Practice address:** 916 BOOKER ST, BROWNWOOD, TX 76801-2506
- **Practice address phone:** (936) 204-6845
- **Mailing address:** PO BOX 847343, DALLAS, TX 75284-7343
- **Mailing address phone:** (800) 913-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 03/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1457716037 | — | TX |
| 05 | — | 40230015 | — | NM |