MEDICARE: GSA EMS GROUP 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	3416L0300X	Land Ambulance	1000811	TX

General Provider Information

NPI Number	:	1215297643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GSA EMS GROUP LLC

Provider Business Mailing Address
First Line	:	8524 HIGHWAY 6 N
Second Line	:	STE 207
City	:	HOUSTON
State	:	TX
Zip	:	77095-2103
Country	:	US
Telephone Number	:	713-545-6178
Fax Number	:	281-855-3463

Provider Business Practice Location Address
First Line	:	6010 MILWEE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6216
Country	:	US
Telephone Number	:	713-545-6178
Fax Number	:	281-855-3463

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TROY WILKIE
Credential	:
Telephone Number	:	281-831-3834

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	05/18/2012

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Directions to “GSA EMS GROUP LLC ” Practice Location

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