Provider Demographics
NPI:1043512171
Name:GREATER TEXAS CRITICAL CARE EMS LLC
Entity Type:Organization
Organization Name:GREATER TEXAS CRITICAL CARE EMS LLC
Other - Org Name:CRITICAL CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DARVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-472-4612
Mailing Address - Street 1:19112 NORTH PINE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388
Mailing Address - Country:US
Mailing Address - Phone:832-472-4612
Mailing Address - Fax:
Practice Address - Street 1:19112 NORTH PINE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4659
Practice Address - Country:US
Practice Address - Phone:832-472-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport