MEDICARE: FMR, 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	1000075	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00670889	OTHER	TX	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760662274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FMR, INC

Provider Business Mailing Address
First Line	:	3843 PARKSIDE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2561
Country	:	US
Telephone Number	:	713-691-5455
Fax Number	:	832-397-6997

Provider Business Practice Location Address
First Line	:	4617 ARLINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-2801
Country	:	US
Telephone Number	:	713-691-6517
Fax Number	:	713-691-5727

Authorized Official
Title or Position	:	OWNER
Name	:	KHALED ELSAADI
Credential	:
Telephone Number	:	713-691-6517

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	10/14/2024

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