Provider Demographics
NPI:1073820940
Name:TEXANNA EMS, INC
Entity Type:Organization
Organization Name:TEXANNA EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORCAS
Authorized Official - Middle Name:ITOHAN
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-271-0009
Mailing Address - Street 1:10039 BISSONNET ST
Mailing Address - Street 2:SUITE324
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7854
Mailing Address - Country:US
Mailing Address - Phone:713-271-0009
Mailing Address - Fax:713-771-5081
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:SUITE324
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:713-271-0009
Practice Address - Fax:713-771-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000445OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES