Healthcare Provider Details

I. General information

NPI: 1891607008
Provider Name (Legal Business Name): MASSAD GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E MYRTLE ST STE 239
ANGLETON TX
77515-4771
US

IV. Provider business mailing address

3225 WOODLAND PARK DR APT 771
HOUSTON TX
77082-7665
US

V. Phone/Fax

Practice location:
  • Phone: 317-229-5612
  • Fax: 281-909-0832
Mailing address:
  • Phone: 317-229-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MUNTASER I MASSAD
Title or Position: OWNER
Credential:
Phone: 317-229-5612