Southern Interprises

NPI #1356504955 in Alton, Texas

Provider Information

NPI Number: 1356504955
Entity Type: Organization
Organization Name: Southern Interprises
Primary Specialty: Ambulance
Enumeration Date: Jul 3, 2008
Last Updated: Jul 3, 2008

Practice Location

Address: 310 E MAIN AVE
Address 2: PMB 213
City: Alton
State: Texas
ZIP Code: 78573-6872
Phone: (956) 240-8910

Authorized Official

Name: MR. JUAN FRANCISCO CORDERO JR., ECA
Title: ADMINISTRATOR
Phone: (956) 240-8910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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