Organization
LIFELINE AMBULANCE SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A. SANTOS SR. (OWNER)
(956) 722-7486
Entity
Organization
Contact information
Practice address
6502 N BARTLETT AVE, LAREDO, TX 78041-6444
(956) 723-5421
(956) 725-0271
Mailing address
PO BOX 452145, LAREDO, TX 78045-0053
(956) 722-7486
(956) 725-0271
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
240018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158007801
—
TX
01
—
AMB701
BCBSTX
TX
Enumeration date
05/01/2007
Last updated
02/02/2012
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