Eagle Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000060 Issued in TX

Legal business name

EAGLE AMBULANCE LLC

Practice address

3201 G N Highway 146
Baytown, TX 77520-2673

Phone

(713) 927-9083

Fax

(713) 290-9047

NPI assigned

Jan 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Salazar

Title

Owner

Phone

(713) 927-9083

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1023348471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 G N HIGHWAY 146",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202673",
            "telephone_number": "713-927-9083",
            "fax_number": "713-290-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 G N HIGHWAY 146",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202673",
            "telephone_number": "713-927-9083",
            "fax_number": "713-290-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-927-9083"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.