MEDICARE: WALLER-HARRIS EMERGENCY SERVICES

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437994274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALLER-HARRIS EMERGENCY SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 510
Second Line	:
City	:	WALLER
State	:	TX
Zip	:	77484-0510
Country	:	US
Telephone Number	:	832-684-2975
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 ELLEN POWELL DR
Second Line	:
City	:	PRAIRIE VIEW
State	:	TX
Zip	:	77445-8000
Country	:	US
Telephone Number	:	832-684-2975
Fax Number	:

Authorized Official
Title or Position	:	CHIEF/EMS ADMINISTRATOR
Name	:	JAMES ROBERT JONES
Credential	:
Telephone Number	:	936-372-8084

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	08/20/2025

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