Organization
EMERALD AMBULANCE SERVICE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND SOTELO EMT PARAMEDIC (PRESIDENT)
(210) 694-4508
Entity
Organization
Contact information
Practice address
3817 PARKDALE ST, SAN ANTONIO, TX 78229-2390
(210) 694-4505
(210) 877-6004
Mailing address
PO BOX 690193, SAN ANTONIO, TX 78269-0193
(210) 694-4508
(210) 877-6004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
015110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651705
—
TX
Enumeration date
07/18/2006
Last updated
08/22/2020
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