MEDICARE: CHANNELS EMS INC

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	3416L0300X	Land Ambulance	1000684	TX

General Provider Information

NPI Number	:	1174805444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANNELS EMS INC

Provider Business Mailing Address
First Line	:	5855 SOVEREIGN DR
Second Line	:	SUITE D120
City	:	HOUSTON
State	:	TX
Zip	:	77036-2330
Country	:	US
Telephone Number	:	832-893-5449
Fax Number	:	832-327-7513

Provider Business Practice Location Address
First Line	:	5855 SOVEREIGN DR
Second Line	:	SUITE D120
City	:	HOUSTON
State	:	TX
Zip	:	77036-2330
Country	:	US
Telephone Number	:	832-893-5449
Fax Number	:	832-327-7513

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES M NWAKOR
Credential	:
Telephone Number	:	832-893-5449

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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Directions to “CHANNELS EMS INC ” Practice Location

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