Healthcare Provider Details

I. General information

NPI: 1578098687
Provider Name (Legal Business Name): SATX GUARDIAN TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 05/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 WINDMILL RANCH RD
SPRING BRANCH TX
78070
US

IV. Provider business mailing address

4206 VALLEY PIKE ST
SAN ANTONIO TX
78230-1706
US

V. Phone/Fax

Practice location:
  • Phone: 210-931-1279
  • Fax: 833-790-2064
Mailing address:
  • Phone: 210-931-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateTX

VIII. Authorized Official

Name: RICARDO SUAREZ GUERRA
Title or Position: OWNER
Credential:
Phone: 210-931-1279