Provider Demographics
NPI:1346575131
Name:VENTEX EMS, LLC.
Entity Type:Organization
Organization Name:VENTEX EMS, LLC.
Other - Org Name:VENTEX EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:VENTURA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-LP
Authorized Official - Phone:281-479-3606
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-0776
Mailing Address - Country:US
Mailing Address - Phone:814-371-3403
Mailing Address - Fax:814-375-1140
Practice Address - Street 1:2721 SAN MARCOS DR
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-1840
Practice Address - Country:US
Practice Address - Phone:281-479-3606
Practice Address - Fax:281-479-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207712501Medicaid
TXAMB1121OtherBLUE CROSS
TX207712501Medicaid