Organization
SUPERIOR AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ROBERTS (OWNER)
(432) 580-4312
Entity
Organization
Contact information
Practice address
2401 KERMIT HWY, ODESSA, TX 79761-1142
(432) 580-4312
(432) 580-4496
Mailing address
2401 KERMIT HWY, ODESSA, TX 79761-1142
(432) 580-4312
(432) 580-4496
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
068002
TX
Other
Enumeration date
09/09/2005
Last updated
08/22/2020
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