Enterprise Ambulance- Houston, LTD

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

30015 Issued in TX

Legal business name

ENTERPRISE AMBULANCE- HOUSTON, LTD

Practice address

1232 FM 646 Rd W
Dickinson, TX 77539-3017

Phone

(281) 534-5600

Fax

(281) 337-8111

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Pam Wagner

Title

Billing Supervisior

Phone

(281) 337-8121

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1689659443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 FM 646 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393017",
            "telephone_number": "281-534-5600",
            "fax_number": "281-337-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 FM 646 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393017",
            "telephone_number": "281-534-5600",
            "fax_number": "281-337-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE AMBULANCE- HOUSTON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING SUPERVISIOR",
        "authorized_official_telephone_number": "281-337-8121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "30015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000679301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.