Organization
AMBULANCE SERVICE ELYSIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDAN WOODROFFE (OWNER)
(832) 894-1965
Entity
Organization
Contact information
Practice address
227 N LOOP 1604 E, 150, SAN ANTONIO, TX 78232-1260
(832) 894-1965
(832) 383-4406
Mailing address
227 N LOOP 1604 E, 150, SAN ANTONIO, TX 78232-1260
(832) 894-1965
(832) 383-4406
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000953
TX
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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