Provider Demographics
NPI:1073945952
Name:JOHNSONS AMBULANCE LLC
Entity Type:Organization
Organization Name:JOHNSONS AMBULANCE LLC
Other - Org Name:JOHNSONS AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-484-9718
Mailing Address - Street 1:2604 WESTERLAND DR
Mailing Address - Street 2:APT 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:713-484-9718
Mailing Address - Fax:
Practice Address - Street 1:2604 WESTERLAND DR
Practice Address - Street 2:APT 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3300
Practice Address - Country:US
Practice Address - Phone:713-484-9718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000891341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000891OtherTDH LICENSE