MEDICARE: EMS DOCTORS SERVICES PLLC

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	TX8144	TX

General Provider Information

NPI Number	:	1336314087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMS DOCTORS SERVICES PLLC

Provider Business Mailing Address
First Line	:	10106 KLECKLEY DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3417
Country	:	US
Telephone Number	:	713-864-9355
Fax Number	:	713-864-7211

Provider Business Practice Location Address
First Line	:	10106 KLECKLEY DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3417
Country	:	US
Telephone Number	:	713-864-9355
Fax Number	:	713-864-7211

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MR. PAUL ROTHWELL
Credential	:
Telephone Number	:	604-599-1895

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	04/24/2008

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