Provider Demographics
NPI:1568773398
Name:RELIEF AMBULANCE SERVICES LLC
Entity Type:Organization
Organization Name:RELIEF AMBULANCE SERVICES LLC
Other - Org Name:RELIEF AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-377-3177
Mailing Address - Street 1:11601 BRITTMOORE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6918
Mailing Address - Country:US
Mailing Address - Phone:713-377-3177
Mailing Address - Fax:713-520-7068
Practice Address - Street 1:11601 BRITTMOORE PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-6918
Practice Address - Country:US
Practice Address - Phone:713-377-3177
Practice Address - Fax:713-520-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-26
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000392341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1568773398Medicare PIN