Provider Demographics
NPI:1932429420
Name:HOUSTON LIFECARE EMS INC
Entity type:Organization
Organization Name:HOUSTON LIFECARE EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANUGWOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-594-3188
Mailing Address - Street 1:15911 WILLIWAW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5373
Mailing Address - Country:US
Mailing Address - Phone:832-594-3188
Mailing Address - Fax:832-242-1732
Practice Address - Street 1:15911 WILLIWAW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5373
Practice Address - Country:US
Practice Address - Phone:832-594-3188
Practice Address - Fax:832-242-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000456341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance