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NPI Code Detail

MEDICARE: EPIC AMBULANCE, LLC

MEDICARE: EPIC AMBULANCE, 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
13416L0300XLand Ambulance1000202TX

General Provider Information

NPI Number : 1538305388
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIC AMBULANCE, LLC
Provider Business Mailing Address
First Line : PO BOX 421118
Second Line :
City : HOUSTON
State : TX
Zip : 77242-1118
Country : US
Telephone Number : 713-270-5375
Fax Number : 713-270-5718
Provider Business Practice Location Address
First Line : 6100 CORPORATE DR
Second Line : SUITE 270
City : HOUSTON
State : TX
Zip : 77036-3419
Country : US
Telephone Number : 713-776-3307
Fax Number : 713-776-8072
Authorized Official
Title or Position : PRESIDENT
Name : DR. PREM P GOGIA
Credential : DPT, PHD
Telephone Number : 713-270-5375
Provider Enumeration Date : 12/29/2008
Last Update Date : 09/22/2010

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Directions to “EPIC AMBULANCE, LLC ” Practice Location

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