Provider Demographics
NPI:1376729459
Name:CITI-TRANSPORT MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:CITI-TRANSPORT MEDICAL SERVICES INC
Other - Org Name:FIRST RESPONSE MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-618-3550
Mailing Address - Street 1:3600 N 23RD ST
Mailing Address - Street 2:STE 204-A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6144
Mailing Address - Country:US
Mailing Address - Phone:956-618-3550
Mailing Address - Fax:
Practice Address - Street 1:3600 N 23RD ST
Practice Address - Street 2:STE 204-A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6144
Practice Address - Country:US
Practice Address - Phone:956-618-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108055341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB279Medicare PIN