# ALLIANCE AMBULANCE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356335806
- **Authorized official:** JON EDENS (OPERATIONS MANAGER)
- **Authorized official phone:** (713) 682-2273

## Contact information

- **Practice address:** 6214 SAXON DR, HOUSTON, TX 77092-6247
- **Practice address phone:** (713) 682-2273
- **Practice address fax:** (713) 682-5815
- **Mailing address:** 6214 SAXON DR, HOUSTON, TX 77092-6247
- **Mailing address phone:** (713) 682-2273
- **Mailing address fax:** (713) 682-5815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 101212 | TX | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 09/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000574601 | — | TX |
| 01 | — | 4644548 | AETNA | TX |