S TX LIFESTAR AMBULANCE SRVC; NPI #1184743015

Contact Information

S TX LIFESTAR AMBULANCE SRVC

4839 OLD ESCOBARES HWY 83
ROMA, TX 78584

Phone: 956-847-1002
Fax: 956-847-1317
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for S TX LIFESTAR AMBULANCE SRVC

NPI # 1184743015

LBN Legal business name S TX LIFESTAR AMBULANCE SRVC

Authorized official DEYANIRA LOPEZ - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/29/2007

Last updated 08/18/2008 - About 18 years ago

Identifiers

TX	License #	214004
TX	Medicaid	163777901

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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S TX LIFESTAR AMBULANCE SRVC

Contact Information

Specialty

Land Transport

NPI Profile & details for S TX LIFESTAR AMBULANCE SRVC

Reviews for S TX LIFESTAR AMBULANCE SRVC