Provider Demographics
NPI:1003107764
Name:CHOICE AID EMS LLC
Entity Type:Organization
Organization Name:CHOICE AID EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDELLATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:832-755-9111
Mailing Address - Street 1:PO BOX 740572
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0572
Mailing Address - Country:US
Mailing Address - Phone:832-755-9111
Mailing Address - Fax:281-806-5977
Practice Address - Street 1:4434 BLUEBONNET DR STE 136
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2904
Practice Address - Country:US
Practice Address - Phone:832-755-9111
Practice Address - Fax:281-806-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX313804201Medicaid
TX1000624OtherSTATE
TX313804201Medicaid