MEDICARE: AMERICAN MEDICAL RESPONSE OF TEXAS, 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

General Provider Information

NPI Number	:	1790091791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL RESPONSE OF TEXAS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 847343
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 SOUTH FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5928
Country	:	US
Telephone Number	:	800-899-2991
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK BRUNING
Credential	:
Telephone Number	:	303-495-1220

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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