Provider Demographics
NPI:1538198239
Name:PROTECH EMERGENCY MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:PROTECH EMERGENCY MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEASAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PARADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-740-9677
Mailing Address - Street 1:2626 SOUTH LOOP WEST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:713-740-9677
Mailing Address - Fax:713-740-9883
Practice Address - Street 1:412 HOUSTON AVE
Practice Address - Street 2:#F
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-2165
Practice Address - Country:US
Practice Address - Phone:713-740-9677
Practice Address - Fax:713-740-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800047341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB464Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER