MEDICARE: ANGELS EMS 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
1	3416L0300X	Land Ambulance	101333	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3737218	OTHER	PA	AETNA
2	AMB720	OTHER	TX	BLUECROSS BLUESHIELD TX
3	81-00145	OTHER	TX	EVERCARE
4	270443	OTHER	TX	AMERIGROUP-TEXAS
5	0007723632	OTHER	KY	AETNA

General Provider Information

NPI Number	:	1770561649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS EMS LLC

Provider Business Mailing Address
First Line	:	PO BOX 965
Second Line	:
City	:	ALIEF
State	:	TX
Zip	:	77411-0965
Country	:	US
Telephone Number	:	832-606-5500
Fax Number	:	713-981-8106

Provider Business Practice Location Address
First Line	:	9207 COUNTRY CREEK DR
Second Line	:	SUITE 202
City	:	HOUSTON
State	:	TX
Zip	:	77036-7714
Country	:	US
Telephone Number	:	832-606-5500
Fax Number	:	713-981-8106

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. AARON EBE EWERE
Credential	:
Telephone Number	:	832-606-5500

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	08/22/2020

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Directions to “ANGELS EMS LLC ” Practice Location

Language	Start Address	Practice Location

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