Organization
GRACE AMBULANCE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY THOMAS (COO)
(713) 825-7017
Entity
Organization
Contact information
Practice address
6750 WEST LOOP S STE 950, BELLAIRE, TX 77401-4124
(713) 664-4722
(713) 838-0887
Mailing address
6750 WEST LOOP S STE 950, BELLAIRE, TX 77401-4124
(713) 664-4722
(713) 838-0887
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000655
TEXAS STATE AMBULANCE LICENSE NUMBER
TX
Enumeration date
07/20/2011
Last updated
07/20/2011
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