MEDICARE: ODYSSEY EMERGENCY MEDICAL, LLC

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	101326	TX

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	:	1982657409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ODYSSEY EMERGENCY MEDICAL, LLC

Provider Business Mailing Address
First Line	:	10325 CYPRESSWOOD DR
Second Line	:	PO BOX 1717
City	:	HOUSTON
State	:	TX
Zip	:	77070-3415
Country	:	US
Telephone Number	:	713-664-5600
Fax Number	:	866-206-2306

Provider Business Practice Location Address
First Line	:	10325 CYPRESSWOOD DR
Second Line	:	SUITE 1717
City	:	HOUSTON
State	:	TX
Zip	:	77070-3415
Country	:	US
Telephone Number	:	713-664-5600
Fax Number	:	866-206-2306

Authorized Official
Title or Position	:	OWNER
Name	:	DARRIN CLAY HOBBS
Credential	:
Telephone Number	:	281-451-7161

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	05/16/2008

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