MEDICARE: ST ANTHONYS AMBULANCE SERVICES

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	3416L0300X	Land Ambulance	021002	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB396	OTHER		MEDICARE

General Provider Information

NPI Number	:	1831181866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST ANTHONYS AMBULANCE SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 36502
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77236-6502
Country	:	US
Telephone Number	:	713-781-9300
Fax Number	:	713-781-9307

Provider Business Practice Location Address
First Line	:	6620 HARWIN DR
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77036-2242
Country	:	US
Telephone Number	:	713-781-9300
Fax Number	:	713-781-9307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTHONY EZEANI
Credential	:	PRESIDENT
Telephone Number	:	281-222-4447

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	08/22/2020

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Directions to “ST ANTHONYS AMBULANCE SERVICES ” Practice Location

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