Provider Demographics
NPI:1891081741
Name:FIRST CARE AMBULANCE INC,
Entity Type:Organization
Organization Name:FIRST CARE AMBULANCE INC,
Other - Org Name:FIRST CARE AMBULANCE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERALES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-437-0100
Mailing Address - Street 1:6323 SOVEREIGN ST STE 171
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5183
Mailing Address - Country:US
Mailing Address - Phone:210-467-0100
Mailing Address - Fax:888-446-2326
Practice Address - Street 1:6323 SOVEREIGN ST STE 171
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-467-0100
Practice Address - Fax:888-446-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000551341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000551OtherTEXAS STATE LIC NUMBER 1000551