Organization
VITAL LINE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN MELENDEZ M.D. (MEDICAL DIRECTOR)
(956) 213-5070
Entity
Organization
Contact information
Practice address
221 E. WISCONSIN RD, EDINBURG, TX 78540
(956) 383-5527
(956) 383-4592
Mailing address
221 E. WISCONSIN RD, P.O. BOX 3666, EDINBURG, TX 78540
(956) 383-5527
(956) 383-4592
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000694201
—
TX
Enumeration date
11/28/2005
Last updated
07/21/2022
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