MEDICARE: LIFE STAR EMS, INC.

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	1000256	TX

General Provider Information

NPI Number	:	1326272881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE STAR EMS, INC.

Provider Business Mailing Address
First Line	:	2526 W FREDDY GONZALEZ DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7339
Country	:	US
Telephone Number	:	956-588-8168
Fax Number	:

Provider Business Practice Location Address
First Line	:	2526 W FREDDY GONZALEZ DR
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7339
Country	:	US
Telephone Number	:	956-660-6543
Fax Number	:	956-253-1596

Authorized Official
Title or Position	:	CEO
Name	:	MR. MOISES SEGOVIA
Credential	:	AEMT
Telephone Number	:	956-588-8168

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	10/30/2024

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Directions to “LIFE STAR EMS, INC. ” Practice Location

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