Organization
MEDICAL RELIANCE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR MARTINEZ EMT (OWNER)
(800) 617-1213
Entity
Organization
Contact information
Practice address
7231 POSS RD, LEON VALLEY, TX 78240-3135
(800) 617-1213
(800) 617-1214
Mailing address
7231 POSS RD, LEON VALLEY, TX 78240-3135
(800) 617-1213
(800) 617-1214
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
015107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1550496901
—
TX
01
—
AMB625
BCBS TEXAS
TX
Enumeration date
06/10/2005
Last updated
08/22/2020
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