Active NPI
Abundant Ambulance LLC
- Ambulance
- San Antonio, TX
National Provider Identifier
1093812018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 101342
- Legal business name
- ABUNDANT AMBULANCE LLC
- Practice address
- 8034 Culebra Rd
102
San Antonio, TX 78251-1882 - Phone
- (210) 444-9039
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalyn Smart
- Title
- Owner
- Phone
- (713) 252-0123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 101342 | TX | Primary |
Addresses
Primary practice location
8034 Culebra Rd
102
San Antonio, TX 78251-1882
Mailing address
PO Box 300088
Houston, TX 77230-0088
Phone (713) 252-0123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB902 | Other | TX | BLUE CROSS BLUE SHIELD |
| 169884701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
8034 Culebra Rd
Ste 102
San Antonio, TX 78251
Phone (210) 444-9039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279238400000",
"number": "1093812018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300088",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772300088",
"telephone_number": "713-252-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8034 CULEBRA RD",
"address_2": "102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511882",
"telephone_number": "210-444-9039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-07-16",
"status": "A",
"authorized_official_last_name": "SMART",
"authorized_official_first_name": "ROSALYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-252-0123"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "101342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AMB902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169884701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.