Organization
NEYDA BONILLA
Active
Other names
LIFELINE EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEYDA BONILLA (OWNER/GM)
(956) 683-8181
Entity
Organization
Contact information
Practice address
2635 W BUSINESS HIGHWAY 83, MCALLEN, TX 78501-7617
(956) 683-8181
(956) 683-8181
Mailing address
PO BOX 880, MCALLEN, TX 78505-0880
(956) 683-8181
(956) 683-8191
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
108060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164410601
—
TX
01
—
AMB819
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
06/27/2008
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