Provider Demographics
NPI:1750417424
Name:SOS AMBULANCE SERVICES, INC
Entity type:Organization
Organization Name:SOS AMBULANCE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OSADEBAMWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-5150
Mailing Address - Street 1:9888 BISSONNET ST
Mailing Address - Street 2:STE 280
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8247
Mailing Address - Country:US
Mailing Address - Phone:713-779-5150
Mailing Address - Fax:713-779-4544
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:STE 280
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:713-779-5150
Practice Address - Fax:713-779-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800211341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN