Organization Active NPI

Texas Ambulance Response Team LLC

  • Land Ambulance
  • Laredo, TX
National Provider Identifier
1326734229
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TEXAS AMBULANCE RESPONSE TEAM LLC
Practice address
4100 San Bernardo Ave Ste 3Ac
Laredo, TX 78041-4445
Phone
(956) 526-0007
Fax
(956) 441-0085
NPI assigned
Apr 13, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Diego Garza Tijerina
Title
Owner
Phone
(956) 526-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

4100 San Bernardo Ave Ste 3Ac
Laredo, TX 78041-4445

Mailing address

4100 San Bernardo Ave Ste 3Ac
Laredo, TX 78041-4445
Phone (956) 236-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114002371 TX Part B Supplier - Ambulance Service Supplier 8820445778 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

4100 San Bernardo Ave
Ste 3AC
Laredo, TX 78041
Phone (956) 526-0007

4100 San Bernardo Ave
Ste A3
Laredo, TX 78041

4100 San Bernardo Ave
Ste A3C
Laredo, TX 78041
Phone (956) 526-0007

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1326734229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SAN BERNARDO AVE STE 3AC",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780414445",
            "telephone_number": "956-236-2791",
            "fax_number": "956-441-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SAN BERNARDO AVE STE 3AC",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780414445",
            "telephone_number": "956-526-0007",
            "fax_number": "956-441-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS AMBULANCE RESPONSE TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "GARZA TIJERINA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-526-0007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.