Healthcare Provider Details

I. General information

NPI: 1255396156
Provider Name (Legal Business Name): CITY OF LAREDO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUADALUPE ST
LAREDO TX
78040-5167
US

IV. Provider business mailing address

PO BOX 579
LAREDO TX
78042-0579
US

V. Phone/Fax

Practice location:
  • Phone: 956-795-4931
  • Fax: 956-726-2632
Mailing address:
  • Phone: 956-795-2153
  • Fax: 956-795-2163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number240004
License Number StateTX

VIII. Authorized Official

Name: GUILLERMO HEARD
Title or Position: FIRE CHIEF
Credential:
Phone: 956-728-8255