MEDICARE: ADAS 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	1000650	TX

General Provider Information

NPI Number	:	1306125695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAS EMS INC

Provider Business Mailing Address
First Line	:	3906 FLANNERY RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-3270
Country	:	US
Telephone Number	:	713-609-9254
Fax Number	:	713-738-6436

Provider Business Practice Location Address
First Line	:	3906 FLANNERY RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-3270
Country	:	US
Telephone Number	:	713-609-9254
Fax Number	:	713-738-6436

Authorized Official
Title or Position	:	OWNER
Name	:	STANLEY N AKUME
Credential	:
Telephone Number	:	713-609-9254

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

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