Provider Demographics
NPI:1275677239
Name:OXFORD AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:OXFORD AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-270-9494
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:STE 178N
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:713-270-9494
Mailing Address - Fax:713-270-9696
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:STE 178N
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:713-270-9494
Practice Address - Fax:713-270-9696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OXFORD AMBULANCE SERVICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-16
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101328341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB359Medicare PIN