Provider Demographics
NPI:1194464552
Name:SPARTANS EMS LLC
Entity Type:Organization
Organization Name:SPARTANS EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAED
Authorized Official - Middle Name:A
Authorized Official - Last Name:BASALAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-807-0928
Mailing Address - Street 1:PO BOX 570964
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-0964
Mailing Address - Country:US
Mailing Address - Phone:832-807-0928
Mailing Address - Fax:866-638-5742
Practice Address - Street 1:2440 TEXAS PKWY STE 304F
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4000
Practice Address - Country:US
Practice Address - Phone:832-807-0928
Practice Address - Fax:866-638-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport