Healthcare Provider Details

I. General information

NPI: 1275613861
Provider Name (Legal Business Name): USA AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13940 BAMMEL NORTH HOUSTON RD SUITE 230
HOUSTON TX
77066-2958
US

IV. Provider business mailing address

8015 OXFORDSHIRE DR
SPRING TX
77379-4671
US

V. Phone/Fax

Practice location:
  • Phone: 281-537-0485
  • Fax: 281-537-8478
Mailing address:
  • Phone: 832-646-4780
  • Fax: 281-379-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number079005
License Number StateTX

VIII. Authorized Official

Name: JORESIA LYN GOREE
Title or Position: OWNER
Credential:
Phone: 832-646-4780