MEDICARE: ADVANTAGE MEDICAL 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	101308	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00162671	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023022928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	908 TOWN AND COUNTRY BLVD STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2208
Country	:	US
Telephone Number	:	713-839-7557
Fax Number	:	713-914-9597

Provider Business Practice Location Address
First Line	:	908 TOWN AND COUNTRY BLVD STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2208
Country	:	US
Telephone Number	:	713-839-7557
Fax Number	:	713-914-9597

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ERIC WALKER
Credential	:
Telephone Number	:	713-839-7557

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/02/2008

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Directions to “ADVANTAGE MEDICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

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