NPI 1396003513 · live from the CMS NPI Registry
Lifeguard Ambulance Service Of Texas LLC
Ambulance in Addison, TX. National Provider Identifier 1396003513, active.
NPI record
| NPI | 1396003513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 4951 Airport Parkway, Suite 710, Addison, TX 75001 |
| Practice phone | 205-380-2065 |
| Mailing address | Po Box 11361, Birmingham, AL 35202 |
| Enumerated | April 25, 2012 |
| Last updated | April 25, 2012 |
| Authorized official | John Roche, Ceo/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 1000665 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.