MEDICARE: VETERAN'S EMS 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	341600000X	Ambulance

General Provider Information

NPI Number	:	1407411945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VETERAN'S EMS LLC

Provider Business Mailing Address
First Line	:	21523 CEDAR COVE DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-5349
Country	:	US
Telephone Number	:	832-492-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	35303 COOPER RD
Second Line	:
City	:	BROOKSHIRE
State	:	TX
Zip	:	77423-9320
Country	:	US
Telephone Number	:	832-492-3258
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN P MORIN JR.
Credential	:
Telephone Number	:	832-492-3258

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	05/13/2020

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Directions to “VETERAN'S EMS LLC ” Practice Location

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