Provider Demographics
NPI:1013556612
Name:AMERICAN SPLENDOR GROUP INC
Entity Type:Organization
Organization Name:AMERICAN SPLENDOR GROUP INC
Other - Org Name:AMERICAN ADVANCED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:KHALED
Authorized Official - Last Name:IIRABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-0163
Mailing Address - Street 1:PO BOX 630931
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77263-0931
Mailing Address - Country:US
Mailing Address - Phone:832-868-0163
Mailing Address - Fax:
Practice Address - Street 1:3535 BRIARPARK DR STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5247
Practice Address - Country:US
Practice Address - Phone:832-868-0163
Practice Address - Fax:713-893-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001011OtherSTATE LICENSE