MEDICARE: PRECISION EMERGENCY MEDICAL SERVICE, 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	101288	TX

General Provider Information

NPI Number	:	1508069113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION EMERGENCY MEDICAL SERVICE, LLC

Provider Business Mailing Address
First Line	:	1419 SILVERDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3243
Country	:	US
Telephone Number	:	832-771-6057
Fax Number	:

Provider Business Practice Location Address
First Line	:	1419 SILVERDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3243
Country	:	US
Telephone Number	:	832-771-6057
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TERRENCE LAMAR ALEXANDER
Credential	:
Telephone Number	:	832-771-6057

Provider Enumeration Date	:	06/09/2007
Last Update Date	:	08/22/2020

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