Provider Demographics
NPI:1619273034
Name:TEJAS AMBULANCE SERVICE INCORPORATED
Entity Type:Organization
Organization Name:TEJAS AMBULANCE SERVICE INCORPORATED
Other - Org Name:TEJAS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-260-3403
Mailing Address - Street 1:5825 CALLAGHAN RD
Mailing Address - Street 2:STE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1124
Mailing Address - Country:US
Mailing Address - Phone:210-260-3403
Mailing Address - Fax:210-653-8168
Practice Address - Street 1:5825 CALLAGHAN RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1124
Practice Address - Country:US
Practice Address - Phone:210-260-3403
Practice Address - Fax:210-653-8168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance