Organization
ST ANTHONYS AMBULANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EZEANI PRESIDENT (PRESIDENT)
(281) 222-4447
Entity
Organization
Contact information
Practice address
6620 HARWIN DR, SUITE 110, HOUSTON, TX 77036-2242
(713) 781-9300
(713) 781-9307
Mailing address
PO BOX 36502, HOUSTON, TX 77236-6502
(713) 781-9300
(713) 781-9307
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
021002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB396
MEDICARE
—
Enumeration date
08/16/2005
Last updated
08/22/2020
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