Provider Demographics
NPI:1366039224
Name:MS ENERGY
Entity Type:Organization
Organization Name:MS ENERGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVRUZOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-909-9293
Mailing Address - Street 1:21302 WILLOWFORD PARK DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5447
Mailing Address - Country:US
Mailing Address - Phone:171-390-9929
Mailing Address - Fax:
Practice Address - Street 1:21302 WILLOWFORD PARK DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5447
Practice Address - Country:US
Practice Address - Phone:713-909-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)