Provider Demographics
NPI:1013215847
Name:STARLIGHT EMS INC
Entity Type:Organization
Organization Name:STARLIGHT EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-1670
Mailing Address - Street 1:8449 W BELLFORT ST
Mailing Address - Street 2:SUITE 348
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2245
Mailing Address - Country:US
Mailing Address - Phone:713-988-1671
Mailing Address - Fax:713-988-1667
Practice Address - Street 1:8449 W BELLFORT ST
Practice Address - Street 2:SUITE 348
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2245
Practice Address - Country:US
Practice Address - Phone:713-988-1671
Practice Address - Fax:713-988-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000562OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES