MEDICARE: VELOCITY HEALTHCARE 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	3416L0300X	Land Ambulance	1000354	TX

General Provider Information

NPI Number	:	1346578275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELOCITY HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 710648
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77271-0648
Country	:	US
Telephone Number	:	713-208-0881
Fax Number	:	713-433-0739

Provider Business Practice Location Address
First Line	:	7001 CORPORATE DR
Second Line	:	SUITE 209
City	:	HOUSTON
State	:	TX
Zip	:	77036-5140
Country	:	US
Telephone Number	:	713-208-0881
Fax Number	:	713-433-0739

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MICHAEL OGUGUA
Credential	:
Telephone Number	:	713-208-0881

Provider Enumeration Date	:	12/04/2009
Last Update Date	:	11/16/2012

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Directions to “VELOCITY HEALTHCARE SERVICES LLC ” Practice Location

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