Provider Demographics
NPI:1437614484
Name:TEXAS SUPERIOR AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:TEXAS SUPERIOR AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARDIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-523-9131
Mailing Address - Street 1:4310 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-4057
Mailing Address - Country:US
Mailing Address - Phone:956-523-9131
Mailing Address - Fax:956-568-3380
Practice Address - Street 1:6262 MCPHERSON RD STE 108
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6183
Practice Address - Country:US
Practice Address - Phone:956-523-9131
Practice Address - Fax:956-568-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport