Organization
GONZALES VOLUNTEER AMBULANCE CORPS.
Active
Other names
Gonzales County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA J RUSSELL EMT-P (OFFICE MANAGER)
(830) 672-7675
Entity
Organization
Contact information
Practice address
1703 N SAINT JOSEPH ST, GONZALES, TX 78629-2331
(830) 672-7675
(830) 672-2222
Mailing address
PO BOX 62, 1703 ST. JOSEPH ST., GONZALES, TX 78629-0062
(830) 672-7675
(830) 672-2222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
089001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00151720
RAILROAD MEDICARE
TX
Enumeration date
08/17/2005
Last updated
08/22/2020
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