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Organization

BRONZESTAR AMBULANCE SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA MEDINA (CHIEF EXECUTIVE OFFICE/ADMINISTRATO)
(956) 712-3667
Entity
Organization

Contact information

Practice address
5816 EAST DRIVE UNIT A, BRONZESTAR AMBULANCE SERVICE LLC, LAREDO, TX 78041-6851
(956) 712-3667
(956) 753-6013
Mailing address
P.O. BOX 451750, BRONZESTAR AMBULANCE LLC, LAREDO, TX 78045-0043
(956) 712-3667
(956) 753-6013

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000454
TX
341600000X
Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TPIBASE#2185134
TX
Enumeration date
05/26/2010
Last updated
09/12/2024
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