MEDICARE: TRIPLE-A 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	1000305	TX

General Provider Information

NPI Number	:	1225361959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE-A EMS INC

Provider Business Mailing Address
First Line	:	9730 TOWN PARK
Second Line	:	SUITE 55
City	:	HOUSTON
State	:	TX
Zip	:	77036-2335
Country	:	US
Telephone Number	:	713-778-1745
Fax Number	:	713-981-7789

Provider Business Practice Location Address
First Line	:	9730 TOWN PARK
Second Line	:	SUITE 55
City	:	HOUSTON
State	:	TX
Zip	:	77036-2335
Country	:	US
Telephone Number	:	713-778-1745
Fax Number	:	713-981-7789

Authorized Official
Title or Position	:	OWNER
Name	:	ADEOLA OGUNGBAYI
Credential	:
Telephone Number	:	713-778-1745

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	09/14/2009

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Directions to “TRIPLE-A EMS INC ” Practice Location

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