# WEST TEXAS AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MICHAEL L SCUDDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548385586
- **Authorized official:** MICHAEL L SCUDDER EMTP (OWNER)
- **Authorized official phone:** (432) 837-1119

## Contact information

- **Practice address:** 106 E BROWN AVE, ALPINE, TX 79830
- **Practice address phone:** (432) 837-1119
- **Mailing address:** PO BOX 338, ALPINE, TX 79831-0338
- **Mailing address phone:** (432) 837-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 022001 | TX | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 04/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000513306 | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 000309701 | — | TX |
| 01 | — | 0005156450 | AETNA | TX |