Organization
LIFELINE RGV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEYDA G. BONILLA (MANAGER)
(956) 683-8181
Entity
Organization
Contact information
Practice address
4601 BUDDY OWENS AVE, MCALLEN, TX 78504-4827
(956) 683-8181
(956) 683-8191
Mailing address
4601 BUDDY OWENS AVE, MCALLEN, TX 78504-4827
(956) 683-8181
(956) 683-8191
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210568601
—
TX
Enumeration date
11/17/2009
Last updated
06/26/2024
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