Provider Demographics
NPI:1629668868
Name:LONGHORN AMBULANCE SERVICES, LLC
Entity Type:Organization
Organization Name:LONGHORN AMBULANCE SERVICES, LLC
Other - Org Name:LONGHORN AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-ASALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-929-9000
Mailing Address - Street 1:3033 CHIMNEY ROCK RD STE 218
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6279
Mailing Address - Country:US
Mailing Address - Phone:832-929-9000
Mailing Address - Fax:
Practice Address - Street 1:3033 CHIMNEY ROCK RD STE 218
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6279
Practice Address - Country:US
Practice Address - Phone:832-929-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance