Organization
COASTLINE AMBULANCE SERVICE LLC
Active
Other names
Coastline Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO DANIEL EMT-P (MEMBER)
(361) 462-7657
Entity
Organization
Contact information
Practice address
4455 SPID DR, STE: 21A, CORPUS CHRISTI, TX 78411-5101
(361) 462-7657
Mailing address
PO BOX 34837, SAN ANTONIO, TX 78265-4837
(361) 462-7657
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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