Organization
ITC MEDICAL TRANSPORT COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE LEDESMA (MANAGER)
(361) 334-5870
Entity
Organization
Contact information
Practice address
4325 KOSTORYZ RD, CORPUS CHRISTI, TX 78415-5018
(361) 334-5870
(361) 334-5871
Mailing address
PO BOX 7619, CORPUS CHRISTI, TX 78467-7619
(361) 334-5870
(361) 334-5871
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19674301
—
TX
Enumeration date
02/21/2008
Last updated
01/24/2018
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