Provider Demographics
NPI:1710979406
Name:AMERICAN PRO-MEDICAL SERVICES
Entity Type:Organization
Organization Name:AMERICAN PRO-MEDICAL SERVICES
Other - Org Name:HOUSTON AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELYASSIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-225-5367
Mailing Address - Street 1:6250 WESTPARK DR
Mailing Address - Street 2:105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7322
Mailing Address - Country:US
Mailing Address - Phone:713-225-5367
Mailing Address - Fax:713-456-2682
Practice Address - Street 1:6250 WESTPARK DR
Practice Address - Street 2:105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7322
Practice Address - Country:US
Practice Address - Phone:713-225-5367
Practice Address - Fax:713-456-2682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101504341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB448Medicare ID - Type Unspecified