Provider Demographics
NPI:1205220175
Name:MAXIMA MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:MAXIMA MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WAQIALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-515-3020
Mailing Address - Street 1:PO BOX 740741
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0741
Mailing Address - Country:US
Mailing Address - Phone:281-515-3020
Mailing Address - Fax:
Practice Address - Street 1:1136 RADIO LN
Practice Address - Street 2:# 117
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3931
Practice Address - Country:US
Practice Address - Phone:281-515-3020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport