Provider Demographics
NPI:1427720812
Name:PROCARE EMS LLC
Entity type:Organization
Organization Name:PROCARE EMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AZZAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAYEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-210-9238
Mailing Address - Street 1:350 NURSERY RD STE 7200H
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4070
Mailing Address - Country:US
Mailing Address - Phone:281-210-9238
Mailing Address - Fax:866-638-5742
Practice Address - Street 1:350 NURSERY RD STE 7200H
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-4070
Practice Address - Country:US
Practice Address - Phone:281-210-9238
Practice Address - Fax:866-638-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance