MEDICARE: ARCH ANGEL 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	1000402	TX

General Provider Information

NPI Number	:	1952630394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCH ANGEL EMS INC

Provider Business Mailing Address
First Line	:	235 MAXEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77013-4513
Country	:	US
Telephone Number	:	713-732-4300
Fax Number	:	713-948-2080

Provider Business Practice Location Address
First Line	:	235 MAXEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77013-4513
Country	:	US
Telephone Number	:	713-732-4300
Fax Number	:	713-948-2080

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LUDMILA DE LA CRUZ
Credential	:
Telephone Number	:	713-732-4300

Provider Enumeration Date	:	12/14/2009
Last Update Date	:	06/14/2010

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Directions to “ARCH ANGEL EMS INC ” Practice Location

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