Provider Demographics
NPI:1790098945
Name:PRECEDENCE AMBULANCE SERVICES LLC
Entity Type:Organization
Organization Name:PRECEDENCE AMBULANCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-297-6406
Mailing Address - Street 1:4010 HAWTHORNE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-8862
Mailing Address - Country:US
Mailing Address - Phone:832-297-6406
Mailing Address - Fax:281-972-9594
Practice Address - Street 1:4010 HAWTHORNE GLEN CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8862
Practice Address - Country:US
Practice Address - Phone:832-297-6406
Practice Address - Fax:281-972-9594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004733416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport