Provider Demographics
NPI:1013375583
Name:GTZ VENTURES, LLC
Entity Type:Organization
Organization Name:GTZ VENTURES, LLC
Other - Org Name:SUMMIT AMBULANCE SERVICE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:HEBERTO
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:956-248-6808
Mailing Address - Street 1:1616 E GRIFFIN PKWY
Mailing Address - Street 2:BOX 202
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3180
Mailing Address - Country:US
Mailing Address - Phone:956-627-5911
Mailing Address - Fax:956-627-5655
Practice Address - Street 1:2121 E GRIFFIN PKWY
Practice Address - Street 2:SUITE 12
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3241
Practice Address - Country:US
Practice Address - Phone:956-627-5911
Practice Address - Fax:956-627-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000659341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000659OtherEMS LICENSE