Provider Demographics
NPI:1952588329
Name:VIKING ENTERPRISES INC.
Entity Type:Organization
Organization Name:VIKING ENTERPRISES INC.
Other - Org Name:CITY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-530-1902
Mailing Address - Street 1:PO BOX 691067
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1067
Mailing Address - Country:US
Mailing Address - Phone:281-212-3000
Mailing Address - Fax:281-894-7108
Practice Address - Street 1:7111 FIVE FORKS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-4101
Practice Address - Country:US
Practice Address - Phone:281-212-3000
Practice Address - Fax:281-894-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000095341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192529901Medicaid
TX1000095OtherSTATE LICENSE