Organization
PHOENIX MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIDERIO MARTINEZ (OWNER)
(956) 684-6690
Entity
Organization
Contact information
Practice address
810 W EXPRESSWAY 83, MERCEDES, TX 78570-2240
(956) 227-0720
(956) 338-5750
Mailing address
PO BOX 659, LA FERIA, TX 78559-0659
(956) 227-0720
(956) 338-5750
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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