Provider Demographics
NPI:1538395108
Name:EVANS EMERGENCY MEDICAL SERVICE
Entity type:Organization
Organization Name:EVANS EMERGENCY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-660-3110
Mailing Address - Street 1:5312 BALMORHEA DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1447
Mailing Address - Country:US
Mailing Address - Phone:832-660-3110
Mailing Address - Fax:281-692-9790
Practice Address - Street 1:5312 BALMORHEA DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1447
Practice Address - Country:US
Practice Address - Phone:832-660-3110
Practice Address - Fax:281-692-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000253341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance