Provider Demographics
NPI:1043517675
Name:CLINICARE EMS INC
Entity Type:Organization
Organization Name:CLINICARE EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLASUPO
Authorized Official - Middle Name:
Authorized Official - Last Name:FATUBARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-756-9900
Mailing Address - Street 1:19207 E HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-9561
Mailing Address - Country:US
Mailing Address - Phone:281-756-9900
Mailing Address - Fax:713-271-3031
Practice Address - Street 1:19207 E HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-9561
Practice Address - Country:US
Practice Address - Phone:281-756-9900
Practice Address - Fax:713-271-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005413416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000541OtherDSHS