=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144418062
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN AMBULANCE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2007
-----------------------------------------------------
Last Update Date | 03/19/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14814 DORRAY LN
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77082-1756
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-273-1243
-----------------------------------------------------
Fax | 713-334-6346
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14814 DORRAY LN
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77082-1756
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-273-1243
-----------------------------------------------------
Fax | 713-334-6346
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ZIAD MUSTAPHA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-273-1243
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000068
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------