Provider Demographics
NPI:1255650180
Name:SUPERIOR EMS INC.
Entity Type:Organization
Organization Name:SUPERIOR EMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBETOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:832-741-7782
Mailing Address - Street 1:PO BOX 840528
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-0528
Mailing Address - Country:US
Mailing Address - Phone:281-858-7200
Mailing Address - Fax:281-550-7985
Practice Address - Street 1:4994 HIGHWAY 6 N STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5283
Practice Address - Country:US
Practice Address - Phone:832-741-7782
Practice Address - Fax:281-550-7985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport