Provider Demographics
NPI:1790006559
Name:AMBU-CARE TRANS LLC
Entity Type:Organization
Organization Name:AMBU-CARE TRANS LLC
Other - Org Name:AMBU-CARE TRANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-551-8130
Mailing Address - Street 1:3402 DOWLING ST
Mailing Address - Street 2:110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4271
Mailing Address - Country:US
Mailing Address - Phone:713-551-8130
Mailing Address - Fax:281-817-5904
Practice Address - Street 1:3402 DOWLING ST
Practice Address - Street 2:110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4271
Practice Address - Country:US
Practice Address - Phone:713-551-8130
Practice Address - Fax:281-817-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000455341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance