Provider Demographics
NPI:1871827584
Name:INNER CITY AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:INNER CITY AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWOSUOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-969-5240
Mailing Address - Street 1:PO BOX 710058
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0058
Mailing Address - Country:US
Mailing Address - Phone:832-969-5240
Mailing Address - Fax:713-780-8420
Practice Address - Street 1:10010 WESTPARK DR
Practice Address - Street 2:STE 807
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5761
Practice Address - Country:US
Practice Address - Phone:832-969-5240
Practice Address - Fax:713-780-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport