MEDICARE: UAC EMERGENCY MEDICAL SERVICES 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	1000413	TX

General Provider Information

NPI Number	:	1245557032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UAC EMERGENCY MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	713-431-4540
Fax Number	:	713-433-6708

Provider Business Practice Location Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	713-431-4540
Fax Number	:	713-433-6708

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES AHAIWE
Credential	:
Telephone Number	:	713-431-4540

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	03/04/2011

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