Organization
LIFE TECH AMBULANCE TRANSPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO A MARTINEZ EMT B (OWNER OPERATOR)
(830) 422-9574
Entity
Organization
Contact information
Practice address
401 E 17TH ST, DEL RIO, TX 78840-3306
(830) 422-9574
(830) 488-6258
Mailing address
401 E 17TH ST, DEL RIO, TX 78840-3306
(830) 422-9574
(830) 488-6258
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
25784431
TX
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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