Organization
BAAXTEN AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL HERRERA (ADMINISTRATOR OF RECORD)
(956) 520-8520
Entity
Organization
Contact information
Practice address
1221 E 10TH ST STE 107, WESLACO, TX 78596-4282
(956) 520-8520
(956) 647-5344
Mailing address
1221 E 10TH ST STE 107, WESLACO, TX 78596-4282
(956) 520-8520
(956) 647-5344
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000986
DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
07/18/2018
Last updated
03/31/2021
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