Grace Ambulance Transport, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000655 Issued in TX

Legal business name

GRACE AMBULANCE TRANSPORT, LLC

Practice address

6750 West Loop S Ste 950
Bellaire, TX 77401-4124

Phone

(713) 664-4722

Fax

(713) 838-0887

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Thomas

Title

Coo

Phone

(713) 825-7017

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1871881177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 950",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014124",
            "telephone_number": "713-664-4722",
            "fax_number": "713-838-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 950",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014124",
            "telephone_number": "713-664-4722",
            "fax_number": "713-838-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AMBULANCE TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-825-7017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE AMBULANCE LICENSE NUMBER",
            "identifier": "1000655",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latrecia Goodie
• Brian Goonan, PH.D.
• Lauren Jean Goonan, PH.D., LSSP
• Bharathi Gopalakrishna, PA-C
• Grace Ambulance Transport LLC
• Debra Lynn Grammas, PH.D.
• Eron Grant
• Michael Christopher Greaser, MD
• Greater Houston Counseling and Therapy Center
• Greater Houston Interventional Pain Associates

• Ambulance in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.