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NPI Code Detail

MEDICARE: PRESIDENTIAL EMERGENCY MEDICAL SERVICE INC

MEDICARE: PRESIDENTIAL EMERGENCY MEDICAL SERVICE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1053637066
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESIDENTIAL EMERGENCY MEDICAL SERVICE INC
Provider Business Mailing Address
First Line : 440 BENMAR DR STE 2296
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3170
Country : US
Telephone Number : 281-448-4466
Fax Number : 281-448-4491
Provider Business Practice Location Address
First Line : 440 BENMAR DR STE 2296
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3170
Country : US
Telephone Number : 281-448-4466
Fax Number : 281-448-4491
Authorized Official
Title or Position : OWNER
Name : DONNIE MURRAY
Credential :
Telephone Number : 281-448-4466
Provider Enumeration Date : 04/15/2010
Last Update Date : 04/15/2010

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Directions to “PRESIDENTIAL EMERGENCY MEDICAL SERVICE INC ” Practice Location

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