Organization
EVENING STAR AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSIE JAMES DAVIS (PRESIDENT)
(210) 669-5846
Entity
Organization
Contact information
Practice address
1108 ZANDERSON AVE, JOURDANTON, TX 78026-3534
(830) 569-5911
Mailing address
1301 HOSPITAL BLVD, UNIT 2, FLORESVILLE, TX 78114-2731
(830) 569-9111
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000033
TEXAS DEPARTMENT OF STATE
TX
Enumeration date
07/19/2007
Last updated
01/26/2012
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