MEDICARE: MEDICINE ON THE GO EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	800096	TX

General Provider Information

NPI Number	:	1083652549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICINE ON THE GO EMS

Provider Business Mailing Address
First Line	:	PO BOX 739
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445-0739
Country	:	US
Telephone Number	:	281-477-3808
Fax Number	:	281-477-3686

Provider Business Practice Location Address
First Line	:	10919 FAIRCROFT DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-1828
Country	:	US
Telephone Number	:	281-477-3808
Fax Number	:	281-477-3686

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ANGELA Y CONLEY
Credential	:
Telephone Number	:	281-477-3808

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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Directions to “MEDICINE ON THE GO EMS ” Practice Location

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