Provider Demographics
NPI:1265471643
Name:PRIORITY-1 EMS, LLC
Entity Type:Organization
Organization Name:PRIORITY-1 EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:832-445-0010
Mailing Address - Street 1:5990 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE #605
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3275
Mailing Address - Country:US
Mailing Address - Phone:832-445-0010
Mailing Address - Fax:281-441-2494
Practice Address - Street 1:5990 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE #605
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3275
Practice Address - Country:US
Practice Address - Phone:832-445-0010
Practice Address - Fax:281-441-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8001253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184563801Medicaid
TXP00355231OtherMEDICARE RAILROAD
TXAMB806OtherBLUE CROSS BLUE SHIELD
TX184563801Medicaid