Provider Demographics
NPI:1275737454
Name:MEDICO ENTERPRISES INC
Entity Type:Organization
Organization Name:MEDICO ENTERPRISES INC
Other - Org Name:MEDISWAT EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIEVES
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-460-4289
Mailing Address - Street 1:1914 ARBOR VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6380
Mailing Address - Country:US
Mailing Address - Phone:713-245-0600
Mailing Address - Fax:
Practice Address - Street 1:5319 GULFTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2801
Practice Address - Country:US
Practice Address - Phone:713-245-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201028201Medicaid
TX201028201Medicaid