=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841521135
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOUSTONIAN EMS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2010
-----------------------------------------------------
Last Update Date | 01/26/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8950 WESTPARK DR STE 210
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77063-5520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-975-7553
-----------------------------------------------------
Fax | 713-975-8245
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8950 WESTPARK DR STE 210
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77063-5520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-975-7553
-----------------------------------------------------
Fax | 713-975-8245
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. EMMANUEL ADEBAYO OSHINUGA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-975-7553
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000378
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------