Organization
QUALITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM SARGENT OWNER (OWNER)
(830) 569-6669
Entity
Organization
Contact information
Practice address
619 2ND ST, PLEASANTON, TX 78064-3101
(830) 569-6666
(830) 569-3872
Mailing address
PO BOX 872, PLEASANTON, TX 78064-0872
(830) 569-6669
(830) 569-3872
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000255201
—
TX
Enumeration date
08/01/2006
Last updated
06/05/2012
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