Provider Demographics
NPI:1235321498
Name:LONE STAR SPEED EMS, INC.
Entity Type:Organization
Organization Name:LONE STAR SPEED EMS, INC.
Other - Org Name:LONE STAR SPEED EMS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FEFI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-5122
Mailing Address - Street 1:525 N SAM HOUSTON PKWY E
Mailing Address - Street 2:#360-I
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4037
Mailing Address - Country:US
Mailing Address - Phone:832-868-5122
Mailing Address - Fax:713-952-6279
Practice Address - Street 1:525 N SAM HOUSTON PKWY E
Practice Address - Street 2:#360-I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4037
Practice Address - Country:US
Practice Address - Phone:832-868-5122
Practice Address - Fax:713-952-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000029341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB622Medicare PIN