1568489284 NPI number — W AND W EMS INC

Table of content: (NPI 1568489284)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568489284 NPI number — W AND W EMS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
W AND W EMS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAME AS ABOVE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568489284
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15100 LEE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMBLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77396-2171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-672-7079
Provider Business Mailing Address Fax Number:
713-672-7086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15100 LEE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMBLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77396-2171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-672-7079
Provider Business Practice Location Address Fax Number:
713-672-7086
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
FREDDIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
713-627-7079

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  300336 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 15502101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com