Provider Demographics
NPI:1235417932
Name:EXCLUSIVE MEDICAL TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:EXCLUSIVE MEDICAL TRANSPORT SERVICES, LLC
Other - Org Name:EXCLUSIVE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-586-7818
Mailing Address - Street 1:1101 S AZALEA ST
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5851
Mailing Address - Country:US
Mailing Address - Phone:956-586-7818
Mailing Address - Fax:
Practice Address - Street 1:1001 S 10TH ST STE 219
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5069
Practice Address - Country:US
Practice Address - Phone:956-586-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport