Provider Demographics
NPI:1013230028
Name:EARLY ACCESS EMS INC
Entity Type:Organization
Organization Name:EARLY ACCESS EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:I
Authorized Official - Last Name:ANUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:281-827-1232
Mailing Address - Street 1:12360 RICHMOND AVE
Mailing Address - Street 2:1515
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2421
Mailing Address - Country:US
Mailing Address - Phone:281-827-1232
Mailing Address - Fax:281-293-8751
Practice Address - Street 1:12360 RICHMOND AVE
Practice Address - Street 2:1515
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2421
Practice Address - Country:US
Practice Address - Phone:281-827-1232
Practice Address - Fax:281-293-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000396341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX341600000XMedicaid
TX341600000XMedicare PIN