Organization
MP AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN D PORTER (OWNER)
(713) 723-6001
Entity
Organization
Contact information
Practice address
13360 S GESSNER RD, MISSOURI CITY, TX 77489-1022
(713) 723-6001
Mailing address
13360 S GESSNER RD, MISSOURI CITY, TX 77489-1022
(713) 723-6001
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101275
TX
343800000X
Secured Medical Transport (VAN)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149131801
—
TX
01
—
AMB634
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/22/2006
Last updated
12/17/2010
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