MEDICARE: EMPIRE EMS 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	1000540	TX

General Provider Information

NPI Number	:	1609178268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPIRE EMS INC

Provider Business Mailing Address
First Line	:	2306 MCCUE RD
Second Line	:	#109
City	:	HOUSTON
State	:	TX
Zip	:	77056-4648
Country	:	US
Telephone Number	:	281-919-9932
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 MCCUE RD
Second Line	:	#109
City	:	HOUSTON
State	:	TX
Zip	:	77056-4648
Country	:	US
Telephone Number	:	281-919-9932
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAZIN MASOUD
Credential	:
Telephone Number	:	281-919-9932

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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Directions to “EMPIRE EMS INC ” Practice Location

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