Provider Demographics
NPI:1154658623
Name:LONESTAR EMT, LLC
Entity Type:Organization
Organization Name:LONESTAR EMT, LLC
Other - Org Name:LONESTAR AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-968-3740
Mailing Address - Street 1:2210 N VETERANS BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6459
Mailing Address - Country:US
Mailing Address - Phone:830-513-8088
Mailing Address - Fax:830-758-1192
Practice Address - Street 1:2210 N VETERANS BLVD STE 160
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6459
Practice Address - Country:US
Practice Address - Phone:830-513-8088
Practice Address - Fax:830-758-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10002793416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport