1902986516 NPI number — WHITES USA AMBULANCE SERVICE INC

Table of content: (NPI 1902986516)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902986516 NPI number — WHITES USA AMBULANCE SERVICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITES USA AMBULANCE SERVICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WHITES USA EMS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902986516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8015 OXFORDSHIRE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77379-4671
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-646-4780
Provider Business Mailing Address Fax Number:
888-902-5021

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5504 BANDERA RD
Provider Second Line Business Practice Location Address:
SUITE 607
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78238-1943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-521-2119
Provider Business Practice Location Address Fax Number:
210-521-2191
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARTEL
Authorized Official First Name:
JORESIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
832-646-4780

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  800195 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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