MEDICARE: CARE AMBULANCE 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	3416L0300X	Land Ambulance	1000176	TX

General Provider Information

NPI Number	:	1780829069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AMBULANCE SERVICES LLC

Provider Business Mailing Address
First Line	:	6402 BENDING OAKS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77050-3704
Country	:	US
Telephone Number	:	832-704-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	8527 SCENIC GREEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77088-8002
Country	:	US
Telephone Number	:	832-704-4050
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. AVERIL BROUSSARD
Credential	:
Telephone Number	:	832-704-4050

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	12/15/2008

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