Organization
AMERISTAR LLC
Active
Other names
AMERISTAR EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAQUESHIA THOMAS (CEO)
(713) 303-8525
Entity
Organization
Contact information
Practice address
9888 BISSONNET ST, SUITE 450B, HOUSTON, TX 77036-8247
(713) 303-8525
(281) 265-1040
Mailing address
9888 BISSONNET ST, SUITE 450B, HOUSTON, TX 77036-8247
(713) 303-8525
(281) 265-1040
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000173
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
05
—
198477501
—
TX
01
—
AMB1008
BCBS
TX
Enumeration date
10/03/2008
Last updated
06/03/2009
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