Provider Demographics
NPI:1053639906
Name:TRULIFE AMBULANCE TRANSFER, INC.
Entity Type:Organization
Organization Name:TRULIFE AMBULANCE TRANSFER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-724-0716
Mailing Address - Street 1:4000 TELEPHONE RD STE C13
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-1395
Mailing Address - Country:US
Mailing Address - Phone:713-724-0716
Mailing Address - Fax:281-431-7358
Practice Address - Street 1:4000 TELEPHONE ROAD
Practice Address - Street 2:#B26
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087
Practice Address - Country:US
Practice Address - Phone:713-724-0716
Practice Address - Fax:281-431-7358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-16
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport