Provider Demographics
NPI:1174832513
Name:MEDCARE EMS LLC
Entity Type:Organization
Organization Name:MEDCARE EMS LLC
Other - Org Name:MEDCARE EMS MEDICAL TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-686-8502
Mailing Address - Street 1:5999 W 34TH ST
Mailing Address - Street 2:SUITE 108 C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6412
Mailing Address - Country:US
Mailing Address - Phone:713-686-8502
Mailing Address - Fax:713-686-8503
Practice Address - Street 1:5999 W 34TH ST
Practice Address - Street 2:SUITE 108 C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6412
Practice Address - Country:US
Practice Address - Phone:713-686-8502
Practice Address - Fax:713-686-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB1108Medicare PIN