Organization
MED LIFE EMER MED SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED J PARKER (PRES CEO)
(318) 281-5433
Entity
Organization
Contact information
Practice address
1917 E MADISON AVE, BASTROP, LA 71220-4069
(318) 281-5433
(318) 281-5431
Mailing address
1917 E MADISON AVE, BASTROP, LA 71220-4069
(318) 281-5433
(318) 281-5431
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996220
—
LA
Enumeration date
11/22/2005
Last updated
09/28/2011
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