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Organization

LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization

Contact information

Practice address
916 BOOKER ST, BROWNWOOD, TX 76801-2506
(936) 204-6845
Mailing address
PO BOX 847343, DALLAS, TX 75284-7343
(800) 913-9106

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457716037
TX
05
40230015
NM
Enumeration date
12/23/2015
Last updated
03/19/2026
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