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NPI Code Detail

MEDICARE: SAFEWAY AMBULANCE SERVICE

MEDICARE: SAFEWAY AMBULANCE SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance1000293TX

General Provider Information

NPI Number : 1306075189
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFEWAY AMBULANCE SERVICE
Provider Business Mailing Address
First Line : P.O. BOX 680406
Second Line :
City : HOUSTON
State : TX
Zip : 77268
Country : US
Telephone Number : 281-893-7233
Fax Number : 281-893-7234
Provider Business Practice Location Address
First Line : 16903 RED OAK DR
Second Line : STE 266
City : HOUSTON
State : TX
Zip : 77090-3914
Country : US
Telephone Number : 281-893-7233
Fax Number : 281-893-7234
Authorized Official
Title or Position : OWNER
Name : MR. MARCUS LEE SHEPARD
Credential :
Telephone Number : 281-893-7233
Provider Enumeration Date : 07/14/2009
Last Update Date : 08/27/2009

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Directions to “SAFEWAY AMBULANCE SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.