MEDICARE: WESTRIDE EMS 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
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1104156413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTRIDE EMS INC

Provider Business Mailing Address
First Line	:	11511 KATY FWY
Second Line	:	538
City	:	HOUSTON
State	:	TX
Zip	:	77079-1903
Country	:	US
Telephone Number	:	281-752-6600
Fax Number	:	281-752-6601

Provider Business Practice Location Address
First Line	:	11511 KATY FWY
Second Line	:	538
City	:	HOUSTON
State	:	TX
Zip	:	77079-1903
Country	:	US
Telephone Number	:	281-752-6600
Fax Number	:	281-752-6601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EFIOM EDEM
Credential	:
Telephone Number	:	713-614-8590

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	01/08/2010

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Directions to “WESTRIDE EMS INC ” Practice Location

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