MEDICARE: CARE PLUS AMBULANCE SERVICE, INC.

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	341600000X	Ambulance	800069	TX

General Provider Information

NPI Number	:	1043380892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS AMBULANCE SERVICE, INC.

Provider Business Mailing Address
First Line	:	8300 BISSONNET ST
Second Line	:	SUITE 205
City	:	HOUSTON
State	:	TX
Zip	:	77074-3900
Country	:	US
Telephone Number	:	713-773-4355
Fax Number	:	713-773-4363

Provider Business Practice Location Address
First Line	:	8204 ELMBROOK DR
Second Line	:	SUITE 176
City	:	DALLAS
State	:	TX
Zip	:	75247-4067
Country	:	US
Telephone Number	:	214-638-0100
Fax Number	:	214-634-3990

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JOE OGBEBOR
Credential	:
Telephone Number	:	214-638-0100

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	08/22/2020

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