Healthcare Provider Details

I. General information

NPI: 1669610879
Provider Name (Legal Business Name): ZODIAC EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9888 BISSONNET ST STE 655
HOUSTON TX
77036-8247
US

IV. Provider business mailing address

9888 BISSONNET ST STE 655
HOUSTON TX
77036-8247
US

V. Phone/Fax

Practice location:
  • Phone: 713-771-1741
  • Fax: 713-771-1773
Mailing address:
  • Phone: 713-771-1741
  • Fax: 713-771-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1000219
License Number StateTX

VIII. Authorized Official

Name: MRS. ANULI J NDUBUISI
Title or Position: CEO
Credential:
Phone: 713-771-1741