Provider Demographics
NPI:1235186032
Name:ADVANCE EMS
Entity Type:Organization
Organization Name:ADVANCE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:POLITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-660-7007
Mailing Address - Street 1:6040 WESTPARK DR
Mailing Address - Street 2:SUITE E10
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7533
Mailing Address - Country:US
Mailing Address - Phone:713-660-7007
Mailing Address - Fax:713-660-6005
Practice Address - Street 1:6040 WESTPARK DR
Practice Address - Street 2:SUITE E10
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7533
Practice Address - Country:US
Practice Address - Phone:713-660-7007
Practice Address - Fax:713-660-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101314341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB316Medicare PIN