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General NPI Number Information
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NPI Number | 1679353601
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Entity Type | Organization
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Legal Business Name | PROMED EMS LLC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 878A S DILL ST
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City | EAST BERNARD
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State | TX
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Zip | 77435-8688
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Country | US
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Telephone | 713-339-1533
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Fax | 281-733-3799
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Provider Business Mailing Address
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Address Line | 11129 PANTHER CT
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City | HOUSTON
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State | TX
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Zip | 77099-5620
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Country | US
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Telephone | 713-339-1533
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Fax | 281-733-3799
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BONIFACE EMENIKE IBE
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Credential |
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Telephone | 713-339-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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