Provider Demographics
NPI:1275527947
Name:METRO AMBULANCE, LP
Entity Type:Organization
Organization Name:METRO AMBULANCE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-288-2788
Mailing Address - Street 1:129 COMMERCIAL PL.,
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154
Mailing Address - Country:US
Mailing Address - Phone:210-288-2788
Mailing Address - Fax:210-566-1330
Practice Address - Street 1:129 COMMERCIAL PL.,
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154
Practice Address - Country:US
Practice Address - Phone:210-288-2788
Practice Address - Fax:210-566-1330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX094019341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulanceGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5178568Medicaid
TX5178568Medicaid