Organization
CITY OF LEON VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIZ VALDEZ (FIRE CHIEF)
(210) 684-3219
Entity
Organization
Contact information
Practice address
6400 EL VERDE RD, LEON VALLEY, TX 78238-2322
(210) 684-3219
Mailing address
6400 EL VERDE RD, LEON VALLEY, TX 78238-2322
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
015034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000406101
—
TX
01
—
590006639
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
06/03/2013
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