Organization
LONE STAR AMBULANCE 1, LLC
Active
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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