Organization
AMI-ADVANCED MEDIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX YEVERINO (PRESIDENT)
(713) 734-9760
Entity
Organization
Contact information
Practice address
1119 OAK CREEK DR, RICHMOND, TX 77469-4926
(713) 734-9760
(713) 734-9754
Mailing address
PO BOX 7761, THE WOODLANDS, TX 77387-7761
(713) 734-9760
(713) 734-9754
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155318201
—
TX
01
—
AMB637
BCBS PROVIDER
TX
Enumeration date
10/27/2005
Last updated
11/22/2011
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