Provider Demographics
NPI:1174833131
Name:TRIAX EMS INC
Entity Type:Organization
Organization Name:TRIAX EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-981-6610
Mailing Address - Street 1:5855 SOVEREIGN DR
Mailing Address - Street 2:STE D-100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2318
Mailing Address - Country:US
Mailing Address - Phone:713-981-6610
Mailing Address - Fax:
Practice Address - Street 1:5855 SOVEREIGN DR
Practice Address - Street 2:STE D-100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2318
Practice Address - Country:US
Practice Address - Phone:713-981-6610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport