Organization
MAVERICK AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN D. DAVILA (VICE PRESIDENT,SECRETARY)
(830) 513-8803
Entity
Organization
Contact information
Practice address
1320 E GARRISON ST STE A, EAGLE PASS, TX 78852-4979
(830) 752-1126
(830) 752-1130
Mailing address
PO BOX 5179, EAGLE PASS, TX 78853-5179
(830) 752-1126
(830) 752-1130
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000001
TX
Other
Enumeration date
04/03/2007
Last updated
03/06/2018
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