MEDICARE: SERENITY 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	3416L0300X	Land Ambulance	800123	TX

General Provider Information

NPI Number	:	1336188754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY EMS

Provider Business Mailing Address
First Line	:	5830 PATE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-4018
Country	:	US
Telephone Number	:	713-516-0135
Fax Number	:

Provider Business Practice Location Address
First Line	:	5830 PATE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-4018
Country	:	US
Telephone Number	:	713-516-0135
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHESTER MASON
Credential	:
Telephone Number	:	713-516-0135

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	08/19/2008

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Directions to “SERENITY EMS ” Practice Location

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