=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235428194
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STAS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2011
-----------------------------------------------------
Last Update Date | 12/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8800 N, WARE ROAD #B
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-624-9114
-----------------------------------------------------
Fax | 956-630-0852
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8800 N. WARE ROAD #B
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-624-9114
-----------------------------------------------------
Fax | 956-630-0852
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. MONICA S ARGUELLO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 956-624-9114
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------