MEDICARE: SHURMED EMERGENCY MEDICAL SERVICE LLC

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
1	341600000X	Ambulance		TX
2	3416L0300X	Land Ambulance		TX

General Provider Information

NPI Number	:	1033437405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHURMED EMERGENCY MEDICAL SERVICE LLC

Provider Business Mailing Address
First Line	:	1535 BRADY BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-4355
Country	:	US
Telephone Number	:	210-432-8800
Fax Number	:	210-432-8801

Provider Business Practice Location Address
First Line	:	1535 BRADY BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-4355
Country	:	US
Telephone Number	:	210-432-8800
Fax Number	:	210-432-8801

Authorized Official
Title or Position	:	OWNER
Name	:	PETE KOSKO
Credential	:
Telephone Number	:	210-432-8800

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	04/16/2020

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