Provider Demographics
NPI:1023328960
Name:FIRST CLASS ANUBLANCE SERVICE, INC
Entity type:Organization
Organization Name:FIRST CLASS ANUBLANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-896-4325
Mailing Address - Street 1:9001 AIRPORT BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-3474
Mailing Address - Country:US
Mailing Address - Phone:832-896-4325
Mailing Address - Fax:
Practice Address - Street 1:9001 AIRPORT BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-3474
Practice Address - Country:US
Practice Address - Phone:832-896-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000517341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance