MEDICARE: PROTECH EMERGENCY MEDICAL 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	341600000X	Ambulance	800047	TX

General Provider Information

NPI Number	:	1538198239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROTECH EMERGENCY MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	2626 SOUTH LOOP WEST
Second Line	:	SUITE 340
City	:	HOUSTON
State	:	TX
Zip	:	77054
Country	:	US
Telephone Number	:	713-740-9677
Fax Number	:	713-740-9883

Provider Business Practice Location Address
First Line	:	412 HOUSTON AVE
Second Line	:	#F
City	:	PASADENA
State	:	TX
Zip	:	77502-2165
Country	:	US
Telephone Number	:	713-740-9677
Fax Number	:	713-740-9883

Authorized Official
Title or Position	:	OWNER
Name	:	ELEASAR PARADES
Credential	:
Telephone Number	:	713-740-9677

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	06/16/2008

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