Provider Demographics
NPI:1245569680
Name:ANDRES GARCIA JR
Entity Type:Organization
Organization Name:ANDRES GARCIA JR
Other - Org Name:REVOLUTION EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-358-6805
Mailing Address - Street 1:5916 W 34TH ST
Mailing Address - Street 2:K
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6430
Mailing Address - Country:US
Mailing Address - Phone:832-358-6805
Mailing Address - Fax:713-290-9047
Practice Address - Street 1:5916 W 34TH ST
Practice Address - Street 2:K
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6430
Practice Address - Country:US
Practice Address - Phone:832-358-6805
Practice Address - Fax:713-290-9047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance