Organization
ADVANCE EMS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA KISLYUK (GENERAL MANAGER)
(713) 661-3443
Entity
Organization
Contact information
Practice address
5018 CHANCELLOR ROW, CORPUS CHRISTI, TX 78416-2106
(361) 857-2059
(361) 857-0439
Mailing address
PO BOX 668, BELLAIRE, TX 77402-0668
(713) 661-3443
(713) 661-3830
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
PP234
TX
341600000X
Ambulance
300358
TX
3416L0300X
Land Ambulance
Primary
300258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000729601
—
TX
05
—
190687701
—
TX
01
—
AMB538
BC/BS OF TEXAS
TX
Enumeration date
07/15/2006
Last updated
05/31/2013
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