Provider Demographics
NPI:1528163243
Name:APOLLO AMBULANCE SERVICES, INC
Entity type:Organization
Organization Name:APOLLO AMBULANCE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:210-859-9010
Mailing Address - Street 1:PO BOX 380783
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78268
Mailing Address - Country:US
Mailing Address - Phone:210-549-2462
Mailing Address - Fax:210-549-2419
Practice Address - Street 1:8034 CULEBRA RD STE 518
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1897
Practice Address - Country:US
Practice Address - Phone:210-549-2462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101414341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101414OtherTEXAS DEPT OF STATE HEALTH SERVICES
TXAMB398Medicare ID - Type UnspecifiedMEDICARE