MEDICARE: EAGLE PASS AMBULANCE 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	3416L0300X	Land Ambulance	800197	TX

General Provider Information

NPI Number	:	1982828331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE PASS AMBULANCE LLC

Provider Business Mailing Address
First Line	:	2701 DEL RIO BLVD
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-3631
Country	:	US
Telephone Number	:	830-752-7702
Fax Number	:	830-773-0368

Provider Business Practice Location Address
First Line	:	2701 DEL RIO BLVD
Second Line	:
City	:	EAGLE PASS
State	:	TX
Zip	:	78852-3631
Country	:	US
Telephone Number	:	830-968-4910
Fax Number	:	830-773-0368

Authorized Official
Title or Position	:	OWNER
Name	:	FELIPE ZAVALA SR.
Credential	:	PARAMEDIC
Telephone Number	:	830-968-4910

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	06/23/2026

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Directions to “EAGLE PASS AMBULANCE LLC ” Practice Location

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