Organization
SOUTHERNCROSS AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALIXTO JUVAL RIVERA ADMINISTRATOR (ADMINISTRATOR)
(512) 373-5115
Entity
Organization
Contact information
Practice address
1718 STATE HIGHWAY 46 SOUTH, NEW BRAUNFELS, TX 78131
(830) 629-2920
Mailing address
PO BOX 311295, NEW BRAUNFELS, TX 78131-1295
(512) 373-5115
(888) 607-0857
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
046006
TX
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000592801
—
TX
Enumeration date
12/06/2006
Last updated
02/09/2022
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