Provider Demographics
NPI:1275837403
Name:SUNCREST EMS, LLC
Entity Type:Organization
Organization Name:SUNCREST EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:TRAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-0229
Mailing Address - Street 1:6910 BELLAIRE BLVD
Mailing Address - Street 2:#9C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3509
Mailing Address - Country:US
Mailing Address - Phone:713-550-0229
Mailing Address - Fax:713-666-6596
Practice Address - Street 1:6910 BELLAIRE BLVD
Practice Address - Street 2:#9C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3509
Practice Address - Country:US
Practice Address - Phone:713-550-0229
Practice Address - Fax:713-666-6596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance