The fatal crash happened along U.S. 67 about 5 miles north of Shafter around 2:40 PM on September 28th.
Texas Department of Public Safety troopers tell Big 2 that a 1998 G.M.C. Sierra pickup truck was heading south around a curve on U.S. 67 when it drifted into the northbound lane and smashed into an oncoming 2009 Ford Ambulance.
The driver of the pickup truck -- Rudolfo Sotelo-Guanespen of Odessa -- was pronounced dead on the scene nearly 2 hours after the crash.
Troopers say Sotelo-Guanespen, 35, was wearing a seat belt.
A passenger in the pickup truck -- Victor Santana of San Elizario -- was rushed to Big Bend Regional Medical Center in Alpine after the crash. Santana, 29, was last listed in critical condition.
The driver of the ambulance -- Isidro Pando of Fort Stockton -- was also taken to B.B.R.M.C. after the crash. He was last listed in stable condition.
The patient being transported by ambulance before the wreck occurred -- Julian Galindo of Presidio -- was also rushed to B.B.R.M.C after the crash. Galindo, 54, was last listed in stable condition at the hospital.
A paramedic in the ambulance -- Steven Roberts of Alamogordo, NM -- was also rushed to B.B.R.M.C. Roberts, 51, was last listed in stable condition.
Troopers say Roberts was not wearing a seat belt because he was treating Galindo.
Troopers say the road was wet, and it was raining at the time of the wreck.
Speed and alcohol could possibly have been factors in the crash, which is still under investigation.
D.P.S. troopers out of Marfa and Alpine, Presidio Police, Presidio County Sheriff's deputies and U.S. Border Patrol agents responded to the crash.