Organization
SOUTHERN INTERPRISES
Active
Other names
Coastal EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN FRANCISCO CORDERO JR. ECA (ADMINISTRATOR)
(956) 240-8910
Entity
Organization
Contact information
Practice address
310 E MAIN AVE, PMB 213, ALTON, TX 78573-6872
(956) 240-8910
Mailing address
310 E. MAIN AVE, PMB 213, ALTON, TX 78573
(956) 240-8910
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
TX
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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