MEDICARE: THUNDERBOLTS 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

General Provider Information

NPI Number	:	1619242823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THUNDERBOLTS EMS INC

Provider Business Mailing Address
First Line	:	2600 S LOOP W STE 300I
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2606
Country	:	US
Telephone Number	:	832-537-8616
Fax Number	:	281-438-0629

Provider Business Practice Location Address
First Line	:	2600 S LOOP W STE 300I
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2606
Country	:	US
Telephone Number	:	832-537-8616
Fax Number	:	281-438-0629

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MORRIS AMADI
Credential	:
Telephone Number	:	832-537-8616

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

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Directions to “THUNDERBOLTS EMS INC ” Practice Location

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