# PHOENIX MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1598353708
- **Authorized official:** DESIDERIO MARTINEZ (OWNER)
- **Authorized official phone:** (956) 684-6690

## Contact information

- **Practice address:** 810 W EXPRESSWAY 83, MERCEDES, TX 78570-2240
- **Practice address phone:** (956) 227-0720
- **Practice address fax:** (956) 338-5750
- **Mailing address:** PO BOX 659, LA FERIA, TX 78559-0659
- **Mailing address phone:** (956) 227-0720
- **Mailing address fax:** (956) 338-5750

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 01/04/2021