Organization
INTERCITY AMBULANCE FOR EMERGENCY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR A ROBLES PRESIDENT (AUTHORIZED OFFICIAL)
(956) 407-7744
Entity
Organization
Contact information
Practice address
5702 BOGART DR, EDINBURG, TX 78542-1558
(956) 407-7744
Mailing address
5702 BOGART DR, EDINBURG, TX 78542-1558
(956) 407-7744
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283981301
—
TX
Enumeration date
06/02/2011
Last updated
03/07/2023
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