Healthcare Provider Details
I. General information
NPI: 1356589949
Provider Name (Legal Business Name): VATICAN EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2009
Last Update Date: 01/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9896 BISSONNET ST SUITE 420
HOUSTON TX
77036-8104
US
IV. Provider business mailing address
9896 BISSONNET ST SUITE 420
HOUSTON TX
77036-8104
US
V. Phone/Fax
- Phone: 713-665-8443
- Fax: 713-665-8447
- Phone: 713-665-8443
- Fax: 713-665-8447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 1000131 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
PATRICK
I.
IKEMERE
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 713-665-8443