Provider Demographics
NPI:1326378167
Name:PAUL OSEMWOTA
Entity Type:Organization
Organization Name:PAUL OSEMWOTA
Other - Org Name:P & D EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:OSEMWOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-729-3472
Mailing Address - Street 1:6314 DRYAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-6605
Mailing Address - Country:US
Mailing Address - Phone:713-729-3472
Mailing Address - Fax:713-729-2482
Practice Address - Street 1:6314 DRYAD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-6605
Practice Address - Country:US
Practice Address - Phone:713-729-3472
Practice Address - Fax:713-729-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000344341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN