Healthcare Provider Details

I. General information

NPI: 1730394222
Provider Name (Legal Business Name): HILLCREST EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 NW LOOP 410 SUITE E6
CASTLE HILLS TX
78213-2333
US

IV. Provider business mailing address

PO BOX 291192
SAN ANTONIO TX
78229-1792
US

V. Phone/Fax

Practice location:
  • Phone: 832-277-5193
  • Fax:
Mailing address:
  • Phone: 832-277-5193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1000010
License Number StateTX

VIII. Authorized Official

Name: MR. ABEL A COLEMAN
Title or Position: DIRECTOR
Credential:
Phone: 832-277-5193