Organization
DELTA AMBULANCE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANGEL GOMEZ JR. (EMS DIRECTOR)
(956) 292-9541
Entity
Organization
Contact information
Practice address
215 N BROADWAY, ELSA, TX 78543-2129
(956) 292-9541
Mailing address
PO BOX 2129, 215 N BROADWAY, ELSA, TX 78543-2129
(956) 292-9541
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000217
TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER FIRM
TX
Enumeration date
01/29/2009
Last updated
06/09/2009
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