Provider Demographics
NPI:1407959331
Name:OXYGEN AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:OXYGEN AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADOLFO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-661-1361
Mailing Address - Street 1:2701 ESPERANZA LN
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1608
Mailing Address - Country:US
Mailing Address - Phone:956-661-1361
Mailing Address - Fax:956-618-4216
Practice Address - Street 1:2701 ESPERANZA LN
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1608
Practice Address - Country:US
Practice Address - Phone:956-661-1361
Practice Address - Fax:956-618-4216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB455Medicare ID - Type UnspecifiedTRAILBLAZER HEALTH ENT