1851317150 NPI number — NEW LIFE AMBULANCE SERVICE

Table of content: DR. KRISTEN ALEXANDRA RIEHL DDS (NPI 1477129351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851317150 NPI number — NEW LIFE AMBULANCE SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW LIFE AMBULANCE SERVICE
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:
1851317150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 682902
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:
77268
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-709-5697
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 LYERLY
Provider Second Line Business Practice Location Address:
STE 2
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-691-7077
Provider Business Practice Location Address Fax Number:
713-691-7417
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
ALBERTO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-709-5697

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  015102 , 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)

  • Identifier: 150332801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: AMB632 . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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