X-Tra Mile Ambulance Servic4E

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

108067 Issued in TX

Legal business name

X-TRA MILE AMBULANCE SERVIC4E

Practice address

300 E Expy 83
Ste J
Pharr, TX 78577-6500

Phone

(956) 783-2709

Fax

(956) 702-1145

NPI assigned

Jun 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Neil Cruz

Title

Owner

Phone

(956) 239-0986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053313320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785402671",
            "telephone_number": "956-239-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E EXPY 83",
            "address_2": "STE J",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776500",
            "telephone_number": "956-783-2709",
            "fax_number": "956-702-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-TRA MILE AMBULANCE SERVIC4E",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-239-0986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "108067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Pharr, TX
• Providers in Pharr, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.