MEDICARE: 2M AMBULANCE SERVICE 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	3416L0300X	Land Ambulance	1000370	TX

General Provider Information

NPI Number	:	1780914440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2M AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	1126 W TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-5500
Country	:	US
Telephone Number	:	281-999-4448
Fax Number	:	713-683-7806

Provider Business Practice Location Address
First Line	:	1126 W. TIDWELL RD.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-5500
Country	:	US
Telephone Number	:	281-999-4448
Fax Number	:	713-683-7806

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HENRY MCNEAL
Credential	:
Telephone Number	:	281-999-4448

Provider Enumeration Date	:	12/31/2009
Last Update Date	:	12/31/2009

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