Medic'S Choice Ambulance, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

101312 Issued in TX

Legal business name

MEDIC'S CHOICE AMBULANCE, LLC

Practice address

6245 Brookhill Dr
Suite #5
Houston, TX 77087-1130

Phone

(281) 447-9700

Fax

(281) 447-3444

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Samora, EMT

Title

Co-Owner

Phone

(281) 447-9700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1497771695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 BROOKHILL DR",
            "address_2": "SUITE #5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871130",
            "telephone_number": "281-447-9700",
            "fax_number": "281-447-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 BROOKHILL DR",
            "address_2": "SUITE #5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871130",
            "telephone_number": "281-447-9700",
            "fax_number": "281-447-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC'S CHOICE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "SAMORA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "281-447-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "AMB683",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1604027-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.