Provider Demographics
NPI:1508478603
Name:AMBULANCE USA, LLC
Entity Type:Organization
Organization Name:AMBULANCE USA, LLC
Other - Org Name:AIR MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:832-872-2222
Mailing Address - Street 1:25807 WESTHEIMER PKWY STE 411
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5369
Mailing Address - Country:US
Mailing Address - Phone:832-872-2222
Mailing Address - Fax:832-872-2300
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 411
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5333
Practice Address - Country:US
Practice Address - Phone:832-872-2222
Practice Address - Fax:832-872-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32071811072OtherTEXAS COMPTROLLER OF PUBLIC ACCOUNTS, FILE# 0803408397