Provider Demographics
NPI:1497771695
Name:MEDIC'S CHOICE AMBULANCE, LLC
Entity Type:Organization
Organization Name:MEDIC'S CHOICE AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:281-447-9700
Mailing Address - Street 1:6245 BROOKHILL DR
Mailing Address - Street 2:SUITE #5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-1130
Mailing Address - Country:US
Mailing Address - Phone:281-447-9700
Mailing Address - Fax:281-447-3444
Practice Address - Street 1:6245 BROOKHILL DR
Practice Address - Street 2:SUITE #5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-1130
Practice Address - Country:US
Practice Address - Phone:281-447-9700
Practice Address - Fax:281-447-3444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB683OtherBC/BS PROVIDER NUMBER
TX1604027-01Medicaid
TXAMB318Medicare ID - Type UnspecifiedPROVIDER NUMBER