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Organization

ALLSTATE EMS AMBULANCE SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DERRICK HUNTER (PRESIDENT)
(713) 691-7311
Entity
Organization

Contact information

Practice address
6365 MILLERVIEW DR, HOUSTON, TX 77091-3358
(713) 691-7311
(713) 691-7313
Mailing address
4207 GARDENDALE ST, 101-B, SAN ANTONIO, TX 78229-3182
(713) 691-7311
(713) 691-7313

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140464201
TX
Enumeration date
09/27/2006
Last updated
01/23/2014
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