Organization Active NPI

Pearl Ambulance Service Inc

  • Land Ambulance
  • Stafford, TX
National Provider Identifier
1013943398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PEARL AMBULANCE SERVICE INC
Practice address
13003 Murphy Rd
L1
Stafford, TX 77477-3956
Phone
(713) 781-9000
Fax
(281) 983-9561
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julian Vence Kimble
Title
Owner
Phone
(713) 781-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13003 Murphy Rd
L1
Stafford, TX 77477-3956

Mailing address

PO Box 741711
Houston, TX 77274-1711
Phone (713) 781-9000

Other identifiers 1

IdentifierTypeStateIssuer
AMB517OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6020 Jessamine St
Ste 405
Houston, TX 77081
Phone (713) 781-9000

13003 Murphy Rd
Ste L1
Stafford, TX 77477
Phone (713) 781-9000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013943398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741711",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772741711",
            "telephone_number": "713-781-9000",
            "fax_number": "281-983-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 MURPHY RD",
            "address_2": "L1",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773956",
            "telephone_number": "713-781-9000",
            "fax_number": "281-983-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "VENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-781-9000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB517",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.