Provider Demographics
NPI:1265414106
Name:RALLS VOLUNTEER AMBULANCE SERVICE
Entity type:Organization
Organization Name:RALLS VOLUNTEER AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-253-2558
Mailing Address - Street 1:8300 BISSONNET ST
Mailing Address - Street 2:STE 205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3900
Mailing Address - Country:US
Mailing Address - Phone:713-773-4355
Mailing Address - Fax:713-773-4363
Practice Address - Street 1:800 AVENUE I
Practice Address - Street 2:
Practice Address - City:RALLS
Practice Address - State:TX
Practice Address - Zip Code:79357-3500
Practice Address - Country:US
Practice Address - Phone:806-253-2558
Practice Address - Fax:806-253-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX054006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086516401Medicaid
TX504260Medicare ID - Type Unspecified