Provider Demographics
NPI:1841471018
Name:FREEDOM EMS
Entity type:Organization
Organization Name:FREEDOM EMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUILLERMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-225-9093
Mailing Address - Street 1:PO BOX 6382
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6382
Mailing Address - Country:US
Mailing Address - Phone:956-225-9093
Mailing Address - Fax:956-683-8435
Practice Address - Street 1:1301 S 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2908
Practice Address - Country:US
Practice Address - Phone:956-225-9093
Practice Address - Fax:956-683-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8000583416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB472Medicare PIN