# SUPERIOR AMBULANCE

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

## Provider details

- **NPI number:** 1902890486
- **Authorized official:** MR. GARY ROBERTS (OWNER)
- **Authorized official phone:** (432) 580-4312

## Contact information

- **Practice address:** 2401 KERMIT HWY, ODESSA, TX 79761-1142
- **Practice address phone:** (432) 580-4312
- **Practice address fax:** (432) 580-4496
- **Mailing address:** 2401 KERMIT HWY, ODESSA, TX 79761-1142
- **Mailing address phone:** (432) 580-4312
- **Mailing address fax:** (432) 580-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 068002 | TX | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 08/22/2020