Provider Demographics
NPI:1164672325
Name:CROWN SUPPORT EMS INC.
Entity Type:Organization
Organization Name:CROWN SUPPORT EMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMNISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-4811
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:SUITE 810
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:713-779-4811
Mailing Address - Fax:713-779-1252
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:SUITE 810
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:713-779-4811
Practice Address - Fax:713-779-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000170341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance