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Organization

STAR EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODOLFO MARTINEZ III (OWNER)
(956) 262-8511
Entity
Organization

Contact information

Practice address
219 N BROADWAY, STE B, ELSA, TX 78543
(956) 262-8511
(956) 262-8770
Mailing address
PO BOX 1551, ELSA, TX 78543-1551
(956) 262-8511
(956) 262-8770

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192499501
TX
01
AMB916
BCBS
TX
Enumeration date
09/28/2007
Last updated
09/17/2008
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