# BRONZESTAR AMBULANCE SERVICE LLC

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

## Provider details

- **NPI number:** 1932428257
- **Authorized official:** MRS. PATRICIA MEDINA (CHIEF EXECUTIVE OFFICE/ADMINISTRATO)
- **Authorized official phone:** (956) 712-3667

## Contact information

- **Practice address:** 5816 EAST DRIVE UNIT A, BRONZESTAR AMBULANCE SERVICE LLC, LAREDO, TX 78041-6851
- **Practice address phone:** (956) 712-3667
- **Practice address fax:** (956) 753-6013
- **Mailing address:** P.O. BOX 451750, BRONZESTAR AMBULANCE LLC, LAREDO, TX 78045-0043
- **Mailing address phone:** (956) 712-3667
- **Mailing address fax:** (956) 753-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000454 | TX | Yes |
| 341600000X | Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 05/26/2010
- **Last updated:** 09/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TPIBASE\#2185134 | — | TX |