MEDICARE: AIRWAY MEDICAL SERVICES LLC

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	1000184	TX

General Provider Information

NPI Number	:	1093960213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIRWAY MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	6245 RENWICK DR
Second Line	:	APT 4228
City	:	HOUSTON
State	:	TX
Zip	:	77081-7515
Country	:	US
Telephone Number	:	713-777-4038
Fax Number	:	713-777-4662

Provider Business Practice Location Address
First Line	:	6245 RENWICK DR
Second Line	:	APT 4228
City	:	HOUSTON
State	:	TX
Zip	:	77081-7515
Country	:	US
Telephone Number	:	713-777-4038
Fax Number	:	713-777-4662

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	TANYA ANN TOUCHECK
Credential	:
Telephone Number	:	713-777-4038

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	12/02/2008

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Directions to “AIRWAY MEDICAL SERVICES LLC ” Practice Location

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