1174286843 NPI number — AMBASSADORE HEALTH CARE HOUSTON, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174286843 NPI number — AMBASSADORE HEALTH CARE HOUSTON, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMBASSADORE HEALTH CARE HOUSTON, 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:
Provider Other Organization Name Type Code:
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:
1174286843
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3934 FM 1960 RD W STE 345
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77068-3541
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-823-9044
Provider Business Mailing Address Fax Number:
346-388-0017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3934 FM 1960 RD W STE 345
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77068-3541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-823-9044
Provider Business Practice Location Address Fax Number:
346-388-0017
Provider Enumeration Date:
10/19/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALCANTARA
Authorized Official First Name:
EMMALYN
Authorized Official Middle Name:
VANO
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
310-713-9968

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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