Organization
LONE STAR AMBULANCE 1, LLC
Active
Other names
Allegiance Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (CEO)
(855) 576-7450
Entity
Organization
Contact information
Practice address
500 N SHORELINE BLVD STE 906, CORPUS CHRISTI, TX 78401-0399
(855) 576-7450
(512) 869-1633
Mailing address
PO BOX 2775, GEORGETOWN, TX 78627-2775
(254) 935-2424
(254) 935-2457
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB906
MEDICARE PTAN
TX
Enumeration date
08/07/2009
Last updated
01/12/2023
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