Provider Demographics
NPI:1861788416
Name:VIC AMBULANCE INC
Entity type:Organization
Organization Name:VIC AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:S
Authorized Official - Last Name:IMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-293-8308
Mailing Address - Street 1:7457 HARWIN DR
Mailing Address - Street 2:327B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2018
Mailing Address - Country:US
Mailing Address - Phone:832-293-8308
Mailing Address - Fax:713-481-0922
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:327B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:832-293-8308
Practice Address - Fax:713-481-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000642341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance