MEDICARE: A & A 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	1000129	TX

General Provider Information

NPI Number	:	1962677062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A EMS, INC.

Provider Business Mailing Address
First Line	:	7900 WESTHEIMER RD APT 135
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3068
Country	:	US
Telephone Number	:	832-276-8263
Fax Number	:	832-252-1111

Provider Business Practice Location Address
First Line	:	7811 LA ROCHE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6703
Country	:	US
Telephone Number	:	832-276-8263
Fax Number	:	832-252-1111

Authorized Official
Title or Position	:	OWNER
Name	:	ALEX HAIDARI
Credential	:
Telephone Number	:	832-276-8263

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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