Provider Demographics
NPI:1700860863
Name:HOUSTON MEDICAL TRANSFER SERVICE INC.
Entity Type:Organization
Organization Name:HOUSTON MEDICAL TRANSFER SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-298-9440
Mailing Address - Street 1:PO BOX 7761
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-7761
Mailing Address - Country:US
Mailing Address - Phone:281-298-9440
Mailing Address - Fax:832-550-2640
Practice Address - Street 1:8525 STELLA LINK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2938
Practice Address - Country:US
Practice Address - Phone:713-349-0318
Practice Address - Fax:832-550-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101160341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB592OtherBCBS OF TEXAS
TX2639044OtherAETNA
TX2639044OtherAETNA