Provider Demographics
NPI:1043546757
Name:EXPRO EMS INC
Entity Type:Organization
Organization Name:EXPRO EMS INC
Other - Org Name:EXPRO EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATAINEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-777-9406
Mailing Address - Street 1:PO BOX 1211
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-1211
Mailing Address - Country:US
Mailing Address - Phone:281-777-9406
Mailing Address - Fax:979-282-2554
Practice Address - Street 1:419 E MILAM ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-5125
Practice Address - Country:US
Practice Address - Phone:281-777-9406
Practice Address - Fax:979-282-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003403416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN