MEDICARE: HATZALAH OF HOUSTON

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

General Provider Information

NPI Number	:	1457044752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HATZALAH OF HOUSTON

Provider Business Mailing Address
First Line	:	11000 FONDREN RD STE B104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5525
Country	:	US
Telephone Number	:	832-743-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	11000 FONDREN RD STE B104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5525
Country	:	US
Telephone Number	:	832-743-0111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID FISHMAN
Credential	:	PARAMEDIC
Telephone Number	:	713-501-7135

Provider Enumeration Date	:	06/01/2023
Last Update Date	:	06/14/2023

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Directions to “HATZALAH OF HOUSTON ” Practice Location

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