MEDICARE: ZENITH CARE 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	341600000X	Ambulance	1000419	TX

General Provider Information

NPI Number	:	1851619043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITH CARE EMS INC.

Provider Business Mailing Address
First Line	:	PO BOX 42007
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-2007
Country	:	US
Telephone Number	:	281-703-2719
Fax Number	:	281-496-6803

Provider Business Practice Location Address
First Line	:	11201 RICHMOND AVE
Second Line	:	A108
City	:	HOUSTON
State	:	TX
Zip	:	77082-6653
Country	:	US
Telephone Number	:	281-703-2719
Fax Number	:	281-496-6803

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OSAMA MALAK
Credential	:
Telephone Number	:	281-703-2719

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	05/12/2010

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