Provider Demographics
NPI:1639250418
Name:ACE AMBULANCE SERVICE
Entity Type:Organization
Organization Name:ACE AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAITHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-975-7800
Mailing Address - Street 1:7100 REGENCY SQUARE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3208
Mailing Address - Country:US
Mailing Address - Phone:713-975-7800
Mailing Address - Fax:713-975-9797
Practice Address - Street 1:7100 REGENCY SQUARE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3208
Practice Address - Country:US
Practice Address - Phone:713-975-7800
Practice Address - Fax:713-975-9797
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACE AMBULANCE SERVICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-18
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101324341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB346Medicare PIN