MEDICARE: NEW MILLENNIUM AMBULANCE 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	1000896	TX
2	341600000X	Ambulance	1000896	TX

General Provider Information

NPI Number	:	1881033744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MILLENNIUM AMBULANCE LLC

Provider Business Mailing Address
First Line	:	13940 BAMMEL N. HOUSTON #229
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066
Country	:	US
Telephone Number	:	832-646-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	13940 BAMMEL NORTH HOUSTON RD STE 229
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-2949
Country	:	US
Telephone Number	:	832-646-4780
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MGR
Name	:	MR. JAMES A. MARTEL
Credential	:
Telephone Number	:	832-646-4780

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	08/19/2013

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