Organization
JORGE LUIS PENA JR
Active
Other names
GUARDIAN EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS PENA JR. (OWNER)
(956) 262-7434
Entity
Organization
Contact information
Practice address
703 W CIRO CASARES, ELSA, TX 78543
(956) 262-7434
(956) 262-6946
Mailing address
PO BOX 2911, ELSA, TX 78543-2911
(956) 262-7434
(956) 262-6946
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178479501
—
TX
Enumeration date
05/16/2006
Last updated
01/21/2014
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