MEDICARE: JOEL N. ULOMI

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	1000529	TX

General Provider Information

NPI Number	:	1255633814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL N. ULOMI

Provider Business Mailing Address
First Line	:	PO BOX 311420
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77231-3420
Country	:	US
Telephone Number	:	281-679-7332
Fax Number	:

Provider Business Practice Location Address
First Line	:	10555 TURTLEWOOD CT
Second Line	:	#1003
City	:	HOUSTON
State	:	TX
Zip	:	77072-2724
Country	:	US
Telephone Number	:	281-679-7332
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL N. ULOMI
Credential	:
Telephone Number	:	281-679-7332

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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