=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003067869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IN PULSE GROUP INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2008
-----------------------------------------------------
Last Update Date | 02/20/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6111 BEVERLYHILL ST SUITE 20
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77057-7636
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-889-6443
-----------------------------------------------------
Fax | 713-782-3537
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 572061
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77257-2061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-889-6443
-----------------------------------------------------
Fax | 713-782-3537
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MAHMOUD AHMAD ELJAMEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-889-6443
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000175
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------