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General NPI Number Information
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NPI Number | 1801020912
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Entity Type | Organization
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Legal Business Name | TEXANS AMBULANCE LLC.
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 12440 OXFORD PARK DR SUITE B111A
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City | HOUSTON
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State | TX
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Zip | 77082-2792
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Country | US
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Telephone | 832-880-0747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772595
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City | HOUSTON
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State | TX
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Zip | 77215-2595
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMAD MUSTAPHA
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Credential |
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Telephone | 832-880-0747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000246
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License Number State | TX
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