MEDICARE: AFTER CARE AMBULANCE TRANSFER INC

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
1	341600000X	Ambulance	800056	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB800	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1447270756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTER CARE AMBULANCE TRANSFER INC

Provider Business Mailing Address
First Line	:	13940 BAMMEL N HOUSTON
Second Line	:	#223
City	:	HOUSTON
State	:	TX
Zip	:	77066
Country	:	US
Telephone Number	:	832-249-7879
Fax Number	:	832-249-7133

Provider Business Practice Location Address
First Line	:	13940 BAMMEL N HOUSTON
Second Line	:	#223
City	:	HOUSTON
State	:	TX
Zip	:	77066
Country	:	US
Telephone Number	:	832-249-7879
Fax Number	:	832-249-7133

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KERRICK DEON FLOYD SR.
Credential	:
Telephone Number	:	832-249-7879

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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