Organization
ELITE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A MATA (ADMINISTRATOR)
(956) 487-1303
Entity
Organization
Contact information
Practice address
5154 N FM 755, RIO GRANDE CITY, TX 78582-9389
(956) 256-9661
(956) 487-2903
Mailing address
5154 N.FM 755, RIO GRANDE CITY, TX 78582-9389
(956) 256-9661
(956) 487-2903
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000482
TX
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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