MEDICARE: CONCORD 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	2472E0500X	EEG Technician
2	341600000X	Ambulance

General Provider Information

NPI Number	:	1669624730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORD EMS INC

Provider Business Mailing Address
First Line	:	PO BOX 37071
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77237-7071
Country	:	US
Telephone Number	:	713-785-6300
Fax Number	:	713-785-6301

Provider Business Practice Location Address
First Line	:	5829 BEVERLYHILL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6709
Country	:	US
Telephone Number	:	713-785-6300
Fax Number	:	713-785-6301

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. GLORIA BROUSSARD
Credential	:
Telephone Number	:	713-785-6300

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	04/03/2023

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Directions to “CONCORD EMS INC ” Practice Location

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