# LIBERTY EMS, LLC

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

## Provider details

- **NPI number:** 1629016290
- **Authorized official:** JOSE BARRERA EMS (DIRECTOR)
- **Authorized official phone:** (956) 381-8838

## Contact information

- **Practice address:** 2512 W FREDDY GONZALEZ DR, EDINBURG, TX 78539-7339
- **Practice address phone:** (956) 381-8838
- **Mailing address:** 2512 W FREDDY GONZALEZ DR, EDINBURG, TX 78539-7339
- **Mailing address phone:** (956) 381-8838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 108063 | TX | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00298475 | RAILROAD MEDICARE | TX |
