Provider Demographics
NPI:1861711806
Name:MEDCORP EMS PLLC
Entity type:Organization
Organization Name:MEDCORP EMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANSON
Authorized Official - Middle Name:HAMILTON
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-PARAMEDIC
Authorized Official - Phone:281-441-3635
Mailing Address - Street 1:4722 RED CANNA VIS
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3286
Mailing Address - Country:US
Mailing Address - Phone:281-441-3635
Mailing Address - Fax:281-441-3635
Practice Address - Street 1:4722 RED CANNA VIS
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3286
Practice Address - Country:US
Practice Address - Phone:281-441-3635
Practice Address - Fax:281-441-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance