Healthcare Provider Details

I. General information

NPI: 1629298344
Provider Name (Legal Business Name): MERCY MEDICAL EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 HEARTH DR #8
HOUSTON TX
77054-2744
US

IV. Provider business mailing address

8435 HEARTH DR #8
HOUSTON TX
77054-2744
US

V. Phone/Fax

Practice location:
  • Phone: 713-320-1958
  • Fax: 713-692-8544
Mailing address:
  • Phone: 713-320-1958
  • Fax: 713-692-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number800171
License Number StateTX

VIII. Authorized Official

Name: MR. JOSEPH MICHAEL BARNES
Title or Position: DIRECTOR OF OPERATIONS
Credential: NREMT-P,
Phone: 713-320-1958