MEDICARE: HEALTHWAY AMBULANCE SERVICES, 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	146L00000X	Paramedic	101252	TX

General Provider Information

NPI Number	:	1154350452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHWAY AMBULANCE SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2405
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77347-2405
Country	:	US
Telephone Number	:	713-290-9827
Fax Number	:	281-591-8659

Provider Business Practice Location Address
First Line	:	525 N SAM HOUSTON PKWY E
Second Line	:	SUITE #250
City	:	HOUSTON
State	:	TX
Zip	:	77060-4037
Country	:	US
Telephone Number	:	713-290-9827
Fax Number	:	281-591-8659

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEANADO DORELUS
Credential	:	PARAMEDIC
Telephone Number	:	713-290-9827

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

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