# INTERCITY AMBULANCE FOR EMERGENCY MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1922392406
- **Authorized official:** MR. SALVADOR A ROBLES PRESIDENT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (956) 407-7744

## Contact information

- **Practice address:** 5702 BOGART DR, EDINBURG, TX 78542-1558
- **Practice address phone:** (956) 407-7744
- **Mailing address:** 5702 BOGART DR, EDINBURG, TX 78542-1558
- **Mailing address phone:** (956) 407-7744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000631 | TX | Yes |

## Other

- **Enumeration date:** 06/02/2011
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 283981301 | — | TX |