MEDICARE: CRAFT USA 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

General Provider Information

NPI Number	:	1366671273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAFT USA EMS INC.

Provider Business Mailing Address
First Line	:	2015 ENGELMOHR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3805
Country	:	US
Telephone Number	:	832-274-8140
Fax Number	:	713-645-8646

Provider Business Practice Location Address
First Line	:	2015 ENGELMOHR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3805
Country	:	US
Telephone Number	:	832-274-8140
Fax Number	:	713-645-8646

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISHIE CRAFT
Credential	:
Telephone Number	:	832-274-8140

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	11/20/2009

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Directions to “CRAFT USA EMS INC. ” Practice Location

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