MEDICARE: AMBU-CARE EMS, 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	101402	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821021015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBU-CARE EMS, LLC

Provider Business Mailing Address
First Line	:	10710 S SAM HOUSTON PKWY W
Second Line	:	SUITE 270
City	:	HOUSTON
State	:	TX
Zip	:	77031-3054
Country	:	US
Telephone Number	:	713-773-4343
Fax Number	:	713-773-4341

Provider Business Practice Location Address
First Line	:	10710 S SAM HOUSTON PKWY W
Second Line	:	SUITE 270
City	:	HOUSTON
State	:	TX
Zip	:	77031-3054
Country	:	US
Telephone Number	:	713-773-4343
Fax Number	:	713-773-4341

Authorized Official
Title or Position	:	SERVICE DIRECTOR
Name	:	RICHARD FONTENOT
Credential	:
Telephone Number	:	713-773-4343

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/30/2008

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Directions to “AMBU-CARE EMS, LLC ” Practice Location

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