Provider Demographics
NPI:1902165020
Name:ST PETER CLEVER EMS INC
Entity Type:Organization
Organization Name:ST PETER CLEVER EMS INC
Other - Org Name:ST PETER CLEVER EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UGOCKUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-213-2819
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:SUITE 490 B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:713-213-2819
Mailing Address - Fax:
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:SUITE 490 B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:713-213-2819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000791341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance