MEDICARE: FASTRAC EMS INC

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	1000463	TX

General Provider Information

NPI Number	:	1336460963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FASTRAC EMS INC

Provider Business Mailing Address
First Line	:	9730 TOWN PARK DR
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77036-2336
Country	:	US
Telephone Number	:	713-271-0520
Fax Number	:	713-271-0521

Provider Business Practice Location Address
First Line	:	9730 TOWN PARK DR
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77036-2336
Country	:	US
Telephone Number	:	713-271-0520
Fax Number	:	713-271-0521

Authorized Official
Title or Position	:	OWNER
Name	:	CHENA THOMPSON
Credential	:
Telephone Number	:	713-271-0520

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	06/17/2010

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Directions to “FASTRAC EMS INC ” Practice Location

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