Provider Demographics
NPI:1780417188
Name:SOTEX EMS, LLC
Entity type:Organization
Organization Name:SOTEX EMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHATTO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-802-2157
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0007
Mailing Address - Country:US
Mailing Address - Phone:956-802-2157
Mailing Address - Fax:
Practice Address - Street 1:2016 TERRACE LN
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-3862
Practice Address - Country:US
Practice Address - Phone:956-802-2157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOTEX EMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-21
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)