MEDICARE: ADVANTAGE MEDICAL SERVICE

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	101308	TX

General Provider Information

NPI Number	:	1336131028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MEDICAL SERVICE

Provider Business Mailing Address
First Line	:	7111 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6007
Country	:	US
Telephone Number	:	713-839-7557
Fax Number	:	713-839-7729

Provider Business Practice Location Address
First Line	:	7111 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6007
Country	:	US
Telephone Number	:	713-839-7557
Fax Number	:	713-839-7729

Authorized Official
Title or Position	:	OWNER
Name	:	RICHIE BOOE
Credential	:
Telephone Number	:	713-839-7557

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/22/2020

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Directions to “ADVANTAGE MEDICAL SERVICE ” Practice Location

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