1952526485 NPI number — EVERCARE EMS, INC.

Table of content: SCOTT ARTHUR UTTLEY M.D. (NPI 1104888023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952526485 NPI number — EVERCARE EMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EVERCARE 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:
Provider Other Organization Name Type Code:
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:
1952526485
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:
13122 SUNSET CLIFF CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-2393
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-277-9170
Provider Business Mailing Address Fax Number:
713-664-9202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12999 MURPHY RD
Provider Second Line Business Practice Location Address:
SUITE N7
Provider Business Practice Location Address City Name:
STAFFORD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77477-3955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-498-3400
Provider Business Practice Location Address Fax Number:
281-498-3415
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAHMOOD
Authorized Official First Name:
MOHAMMED
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
832-443-4876

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  101410 , 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)





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