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General NPI Number Information
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NPI Number | 1861055725
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Entity Type | Organization
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Legal Business Name | SUPERIOR PLUS AMBULANCE LLC
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3073 US HIGHWAY 57
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City | EAGLE PASS
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State | TX
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Zip | 78852-5751
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Country | US
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Telephone | 830-335-2313
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Fax | 830-335-2312
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Provider Business Mailing Address
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Address Line | PO BOX 916
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City | EAGLE PASS
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State | TX
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Zip | 78853-0916
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Country | US
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Telephone | 830-335-2313
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Fax | 830-335-2312
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DAVID HUMBERTO CANTU
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Credential |
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Telephone | 830-352-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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