Provider Demographics
NPI:1326734229
Name:TEXAS AMBULANCE RESPONSE TEAM LLC
Entity Type:Organization
Organization Name:TEXAS AMBULANCE RESPONSE TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA TIJERINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-526-0007
Mailing Address - Street 1:4100 SAN BERNARDO AVE STE 3AC
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-4445
Mailing Address - Country:US
Mailing Address - Phone:956-236-2791
Mailing Address - Fax:956-441-0085
Practice Address - Street 1:4100 SAN BERNARDO AVE STE 3AC
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-4445
Practice Address - Country:US
Practice Address - Phone:956-526-0007
Practice Address - Fax:956-441-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport