Provider Demographics
NPI:1336382100
Name:ALL STAR AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:ALL STAR AMBULANCE SERVICE LLC
Other - Org Name:ALL STAR AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-206-8414
Mailing Address - Street 1:5645 HILLCROFT ST
Mailing Address - Street 2:SUITE 801
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2296
Mailing Address - Country:US
Mailing Address - Phone:832-206-8417
Mailing Address - Fax:
Practice Address - Street 1:5645 HILLCROFT ST
Practice Address - Street 2:SUITE 801
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2296
Practice Address - Country:US
Practice Address - Phone:832-206-8417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000232341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance