Provider Demographics
NPI:1043507387
Name:BRIGADE EMS LLC
Entity Type:Organization
Organization Name:BRIGADE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-703-7727
Mailing Address - Street 1:10101 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1126
Mailing Address - Country:US
Mailing Address - Phone:713-703-7727
Mailing Address - Fax:
Practice Address - Street 1:6040 WESTPARK DR
Practice Address - Street 2:SUITE E002
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7533
Practice Address - Country:US
Practice Address - Phone:713-703-7727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport