# EVENING STAR AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1649470543
- **Authorized official:** MR. JESSIE JAMES DAVIS (PRESIDENT)
- **Authorized official phone:** (210) 669-5846

## Contact information

- **Practice address:** 1108 ZANDERSON AVE, JOURDANTON, TX 78026-3534
- **Practice address phone:** (830) 569-5911
- **Mailing address:** 1301 HOSPITAL BLVD, UNIT 2, FLORESVILLE, TX 78114-2731
- **Mailing address phone:** (830) 569-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000033 | TX | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 01/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1000033 | TEXAS DEPARTMENT OF STATE | TX |