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NPI Code Detail

MEDICARE: X-TRA MILE AMBULANCE SERVIC4E

MEDICARE: X-TRA MILE AMBULANCE SERVIC4E
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance108067TX

General Provider Information

NPI Number : 1053313320
Entity Type Code : Organization
Provider Name (Legal Business Name) : X-TRA MILE AMBULANCE SERVIC4E
Provider Business Mailing Address
First Line : PO BOX 2671
Second Line :
City : EDINBURG
State : TX
Zip : 78540-2671
Country : US
Telephone Number : 956-239-0986
Fax Number :
Provider Business Practice Location Address
First Line : 300 E EXPY 83
Second Line : STE J
City : PHARR
State : TX
Zip : 78577-6500
Country : US
Telephone Number : 956-783-2709
Fax Number : 956-702-1145
Authorized Official
Title or Position : OWNER
Name : MR. NEIL CRUZ
Credential :
Telephone Number : 956-239-0986
Provider Enumeration Date : 06/01/2005
Last Update Date : 08/22/2020

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Directions to “X-TRA MILE AMBULANCE SERVIC4E ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.