MEDICARE: GULF EMS LLC

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		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194760223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF EMS LLC

Provider Business Mailing Address
First Line	:	7207 REGENCY SQUARE
Second Line	:	STE 114
City	:	HOUSTON
State	:	TX
Zip	:	77036
Country	:	US
Telephone Number	:	713-334-0931
Fax Number	:

Provider Business Practice Location Address
First Line	:	7207 REGENCY SQUARE
Second Line	:	STE 114
City	:	HOUSTON
State	:	TX
Zip	:	77036
Country	:	US
Telephone Number	:	713-334-0931
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MERCY AINABE
Credential	:
Telephone Number	:	713-334-0931

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	10/29/2007

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Directions to “GULF EMS LLC ” Practice Location

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