Provider Demographics
NPI:1831181866
Name:ST ANTHONYS AMBULANCE SERVICES
Entity type:Organization
Organization Name:ST ANTHONYS AMBULANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEANI
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:281-222-4447
Mailing Address - Street 1:PO BOX 36502
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77236-6502
Mailing Address - Country:US
Mailing Address - Phone:713-781-9300
Mailing Address - Fax:713-781-9307
Practice Address - Street 1:6620 HARWIN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2242
Practice Address - Country:US
Practice Address - Phone:713-781-9300
Practice Address - Fax:713-781-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0210023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AMB396OtherMEDICARE
AMB338Medicare ID - Type Unspecified