Provider Demographics
NPI:1093833550
Name:CORCAV INC
Entity Type:Organization
Organization Name:CORCAV INC
Other - Org Name:MAGNOLIA AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:ELIUD
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:832-885-2556
Mailing Address - Street 1:6110 CANVASBACK LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-8853
Mailing Address - Country:US
Mailing Address - Phone:832-885-2556
Mailing Address - Fax:281-232-6637
Practice Address - Street 1:6110 CANVASBACK LN
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-8853
Practice Address - Country:US
Practice Address - Phone:832-885-2556
Practice Address - Fax:281-232-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport