Provider Demographics
NPI:1194749721
Name:PREVENTIVE CARE EMS
Entity type:Organization
Organization Name:PREVENTIVE CARE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-773-1289
Mailing Address - Street 1:9311 WINDY SPRING LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2283
Mailing Address - Country:US
Mailing Address - Phone:281-773-1289
Mailing Address - Fax:281-997-8419
Practice Address - Street 1:9311 WINDY SPRING LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2283
Practice Address - Country:US
Practice Address - Phone:281-773-1289
Practice Address - Fax:281-997-8419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800167341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance