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Organization

LA PALOMA EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SYLVIA LYNE BARRERA-WIGINTON LEMT-P (CEO / EMS DIRECTOR)
(361) 348-2367
Entity
Organization

Contact information

Practice address
145 NW FIRST ST, PREMONT, TX 78375-1290
(361) 348-2367
(361) 348-2547
Mailing address
PO BOX 1290, 145 NW FIRST ST, PREMONT, TX 78375-1290
(361) 348-2367
(361) 348-2547

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X1
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000-5662-01
TX
Enumeration date
11/01/2006
Last updated
05/07/2010
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