Organization
LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
1100 E LOOP 304, CROCKETT, TX 75835-1810
(936) 544-4505
Mailing address
PO BOX 847343, DALLAS, TX 75284-7343
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013301647
—
TX
Enumeration date
03/20/2015
Last updated
03/19/2026
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