Provider Demographics
NPI:1104198852
Name:LIFE GUIDE AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:LIFE GUIDE AMBULANCE SERVICES INC
Other - Org Name:LIFE GUIDE AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIUGWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-492-0606
Mailing Address - Street 1:6610 HARWIN DR
Mailing Address - Street 2:STE 252
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2232
Mailing Address - Country:US
Mailing Address - Phone:713-492-0606
Mailing Address - Fax:
Practice Address - Street 1:6610 HARWIN DR
Practice Address - Street 2:STE 252
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2232
Practice Address - Country:US
Practice Address - Phone:713-492-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000761341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance