Provider Demographics
NPI:1861702763
Name:LIFE TEAM EMS INC
Entity type:Organization
Organization Name:LIFE TEAM EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ELUNEIS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:832-643-5444
Mailing Address - Street 1:PO BOX 572893
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-2893
Mailing Address - Country:US
Mailing Address - Phone:713-367-8326
Mailing Address - Fax:713-868-6955
Practice Address - Street 1:2627 NORTH LOOP W #280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1058
Practice Address - Country:US
Practice Address - Phone:713-367-8326
Practice Address - Fax:713-868-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004953416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport