MEDICARE: PREVENTIVE CARE EMS

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	800167	TX

General Provider Information

NPI Number	:	1194749721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVENTIVE CARE EMS

Provider Business Mailing Address
First Line	:	9311 WINDY SPRING LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2283
Country	:	US
Telephone Number	:	281-773-1289
Fax Number	:	281-997-8419

Provider Business Practice Location Address
First Line	:	9311 WINDY SPRING LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2283
Country	:	US
Telephone Number	:	281-773-1289
Fax Number	:	281-997-8419

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JESSIE JAMES ALEXANDER
Credential	:
Telephone Number	:	281-773-1289

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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Directions to “PREVENTIVE CARE EMS ” Practice Location

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