S TX Lifestar Ambulance SRVC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

214004 Issued in TX

Legal business name

S TX LIFESTAR AMBULANCE SRVC

Doing business as

LifeStar EMS

Practice address

4839 Old Escobares Hwy 83
Roma, TX 78584

Phone

(956) 847-1002

Fax

(956) 847-1317

NPI assigned

Mar 29, 2007

Last updated

Aug 18, 2008By 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

Mrs. Deyanira Lopez

Title

President

Phone

(956) 533-5485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LifeStar EMS Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1184743015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785840808",
            "telephone_number": "956-847-1002",
            "fax_number": "956-847-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 OLD ESCOBARES HWY 83",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-847-1002",
            "fax_number": "956-847-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S TX LIFESTAR AMBULANCE SRVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DEYANIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-533-5485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "214004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163777901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStar EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Ann Rodriguez, NP
• Roma Isd
• Roma Pediatric Clinic (Juan Aguilera and Associates)
• Roma Pharmacy
• Natalia Ruiz
• Priscilla Iris Saenz-Hinojosa
• Maria Salidvar
• Angela Rafaela Salinas
• Victoria Salinas, OTR
• Luis Armando Sandoval Jr., NREMT-P, LPN

• Land Ambulance in Roma, TX
• Providers in Roma, 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 18, 2008; 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.