Provider Demographics
NPI:1992014229
Name:KATY AMBULANCE SERVICES LLC
Entity Type:Organization
Organization Name:KATY AMBULANCE SERVICES LLC
Other - Org Name:KATY AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:AMABEBE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:832-888-0820
Mailing Address - Street 1:6420 HILLCROFT ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3190
Mailing Address - Country:US
Mailing Address - Phone:832-888-0820
Mailing Address - Fax:713-401-9739
Practice Address - Street 1:6420 HILLCROFT ST
Practice Address - Street 2:SUITE 312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3190
Practice Address - Country:US
Practice Address - Phone:832-888-0820
Practice Address - Fax:713-401-9739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)