Organization
ST JUDE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGUYEN D PHAM (OWNER)
(713) 538-3319
Entity
Organization
Contact information
Practice address
11500 NORTHWEST FWY, SUITE 265, HOUSTON, TX 77092-6537
(713) 538-3319
(713) 255-8899
Mailing address
PO BOX 17953, SUGAR LAND, TX 77496-7953
(713) 538-3319
(713) 255-8899
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000635
TX
Other
Enumeration date
08/02/2011
Last updated
08/26/2013
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