MEDICARE: EGBE F WARE

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	1000326	TX

General Provider Information

NPI Number	:	1730414269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EGBE F WARE

Provider Business Mailing Address
First Line	:	3026 DOE RUN RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5945
Country	:	US
Telephone Number	:	832-207-9567
Fax Number	:	281-741-5745

Provider Business Practice Location Address
First Line	:	3026 DOE RUN RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5945
Country	:	US
Telephone Number	:	832-207-9567
Fax Number	:	281-741-5745

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. EGBE FLORENCE WARE
Credential	:
Telephone Number	:	832-207-9567

Provider Enumeration Date	:	10/16/2009
Last Update Date	:	10/16/2009

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