MEDICARE: GREYSTONE MEDICAL SERVICES

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		TX

General Provider Information

NPI Number	:	1548253370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREYSTONE MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2131 SARAH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3804
Country	:	US
Telephone Number	:	713-795-0665
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 SARAH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3804
Country	:	US
Telephone Number	:	713-795-0665
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT BERLETH
Credential	:
Telephone Number	:	713-795-0665

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	08/22/2020

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Directions to “GREYSTONE MEDICAL SERVICES ” Practice Location

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