Provider Demographics
NPI:1154350452
Name:HEALTHWAY AMBULANCE SERVICES, INC.
Entity type:Organization
Organization Name:HEALTHWAY AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEANADO
Authorized Official - Middle Name:
Authorized Official - Last Name:DORELUS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:713-290-9827
Mailing Address - Street 1:PO BOX 2405
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-2405
Mailing Address - Country:US
Mailing Address - Phone:713-290-9827
Mailing Address - Fax:281-591-8659
Practice Address - Street 1:525 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE #250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4037
Practice Address - Country:US
Practice Address - Phone:713-290-9827
Practice Address - Fax:281-591-8659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101252146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty