Healthcare Provider Details

I. General information

NPI: 1619143401
Provider Name (Legal Business Name): VATICAN EMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S LOOP W SUITE 475A
HOUSTON TX
77054-2653
US

IV. Provider business mailing address

2626 S LOOP W SUITE 340
HOUSTON TX
77054-2654
US

V. Phone/Fax

Practice location:
  • Phone: 832-723-0500
  • Fax: 713-400-9113
Mailing address:
  • Phone: 832-723-0500
  • Fax: 713-400-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1000131
License Number StateTX

VIII. Authorized Official

Name: EULALIE TUNGU
Title or Position: DIRECTOR
Credential:
Phone: 832-723-0500