Provider Demographics
NPI:1568739324
Name:SOLID ROCK AMBULANCE SERVICES LLC
Entity Type:Organization
Organization Name:SOLID ROCK AMBULANCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWABIYI
Authorized Official - Middle Name:BABATUNDE
Authorized Official - Last Name:BANJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-975-7892
Mailing Address - Street 1:13682 GARDEN GROVE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3413
Mailing Address - Country:US
Mailing Address - Phone:281-975-7892
Mailing Address - Fax:281-676-5596
Practice Address - Street 1:13682 GARDEN GROVE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3413
Practice Address - Country:US
Practice Address - Phone:281-975-7892
Practice Address - Fax:832-415-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport