MEDICARE: MISSOURI HEALTH SERVICES 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10001020	OTHER	TX	TDSHS EMS PROVIDER LICENSE

General Provider Information

NPI Number	:	1528682481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSOURI HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 2496
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497-2496
Country	:	US
Telephone Number	:	832-710-1156
Fax Number	:	346-659-5554

Provider Business Practice Location Address
First Line	:	6420 RICHMOND AVE STE 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5929
Country	:	US
Telephone Number	:	832-710-1156
Fax Number	:	346-659-5554

Authorized Official
Title or Position	:	CEO
Name	:	MAZIN MASOUD
Credential	:	EMT
Telephone Number	:	832-710-1156

Provider Enumeration Date	:	06/05/2020
Last Update Date	:	03/05/2026

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Directions to “MISSOURI HEALTH SERVICES INC ” Practice Location

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