Provider Demographics
NPI:1114087715
Name:NORTHWEST EMS CONSULTANTS PA
Entity Type:Organization
Organization Name:NORTHWEST EMS CONSULTANTS PA
Other - Org Name:NORTH CYPRESS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-849-0520
Mailing Address - Street 1:11645 TELGE RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3218
Mailing Address - Country:US
Mailing Address - Phone:281-849-0520
Mailing Address - Fax:832-603-4378
Practice Address - Street 1:11645 TELGE RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3218
Practice Address - Country:US
Practice Address - Phone:281-849-0520
Practice Address - Fax:832-603-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8001853416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190660401Medicaid
TX190660401Medicaid