Organization
GATEWAY AMBULANCE SERVICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO ROBERT BONDOC (PRESIDENT)
(956) 753-6411
Entity
Organization
Contact information
Practice address
720 LAREDO ST, LAREDO, TX 78040-7917
(956) 753-6411
(956) 753-6412
Mailing address
720 LAREDO ST, LAREDO, TX 78040-5218
(956) 753-6411
(956) 753-6412
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197191301
—
TX
Enumeration date
08/15/2008
Last updated
05/26/2011
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