=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265737845
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEORGE MATTHEWS CONSULTANTS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2011
-----------------------------------------------------
Last Update Date | 02/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6531 EMERALD CANYON RD
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77450-8735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-201-9032
-----------------------------------------------------
Fax | 281-495-0386
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6531 EMERALD CANYON RD
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77450-8735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-201-9032
-----------------------------------------------------
Fax | 281-495-0386
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRTOR
-----------------------------------------------------
Name | MR. GEORGE MATTHEWS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-201-9032
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000552
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------