Provider Demographics
NPI:1679732424
Name:TU VIDA MEDICAL TRANSPORT , INC.
Entity type:Organization
Organization Name:TU VIDA MEDICAL TRANSPORT , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-647-5342
Mailing Address - Street 1:918 S UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4270
Mailing Address - Country:US
Mailing Address - Phone:956-380-0081
Mailing Address - Fax:956-513-0216
Practice Address - Street 1:918 S UTAH AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4270
Practice Address - Country:US
Practice Address - Phone:956-380-0081
Practice Address - Fax:956-513-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB730OtherMEDICARE-ANSI
TX1988974-01Medicaid