Organization
ABUNDANT AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN SMART (OWNER)
(713) 252-0123
Entity
Organization
Contact information
Practice address
8034 CULEBRA RD, 102, SAN ANTONIO, TX 78251-1882
(210) 444-9039
Mailing address
PO BOX 300088, HOUSTON, TX 77230-0088
(713) 252-0123
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169884701
—
TX
01
—
AMB902
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2006
Last updated
07/16/2010
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