Provider Demographics
NPI:1467644559
Name:ALLIANCE EMERGENCY MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:ALLIANCE EMERGENCY MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSITANT DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:DEJESUS
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-240-2315
Mailing Address - Street 1:808 S SHARY RD
Mailing Address - Street 2:STE 5 PMB# 186
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8568
Mailing Address - Country:US
Mailing Address - Phone:956-583-7447
Mailing Address - Fax:956-583-7455
Practice Address - Street 1:1814 VICTORIA ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6403
Practice Address - Country:US
Practice Address - Phone:956-683-7444
Practice Address - Fax:956-683-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB646Medicare PIN