MEDICARE: HARRIS COUNTY 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1538301072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS COUNTY EMERGENCY SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 96118
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73143-6118
Country	:	US
Telephone Number	:	800-962-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 ALDINE BENDER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3502
Country	:	US
Telephone Number	:	281-212-4719
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JODY MEADS
Credential	:
Telephone Number	:	281-212-4719

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	04/27/2009

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