MEDICARE: METROPOLITAN EMERGENCY MEDICAL 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	341600000X	Ambulance	300206	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000528113	OTHER	TX	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578573184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN EMERGENCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 672383
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77267-2383
Country	:	US
Telephone Number	:	281-330-8956
Fax Number	:	281-440-0722

Provider Business Practice Location Address
First Line	:	3315 EDGECREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-5510
Country	:	US
Telephone Number	:	281-330-8956
Fax Number	:	281-440-0722

Authorized Official
Title or Position	:	OWNER
Name	:	KELLI LORRAINE WILLIAMSON
Credential	:
Telephone Number	:	281-330-8956

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

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