# DELTA AMBULANCE SERVICE, LLC

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

## Provider details

- **NPI number:** 1558509521
- **Authorized official:** JOSE ANGEL GOMEZ JR. (EMS DIRECTOR)
- **Authorized official phone:** (956) 292-9541

## Contact information

- **Practice address:** 215 N BROADWAY, ELSA, TX 78543-2129
- **Practice address phone:** (956) 292-9541
- **Mailing address:** PO BOX 2129, 215 N BROADWAY, ELSA, TX 78543-2129
- **Mailing address phone:** (956) 292-9541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000217 | TX | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 06/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1000217 | TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER FIRM | TX |