Provider Demographics
NPI:1427376771
Name:ELITE MEDIC EMS INC
Entity Type:Organization
Organization Name:ELITE MEDIC EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYAORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-8319
Mailing Address - Street 1:6260 WESTPARK DR
Mailing Address - Street 2:STE 125C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7312
Mailing Address - Country:US
Mailing Address - Phone:832-212-8319
Mailing Address - Fax:
Practice Address - Street 1:6260 WESTPARK DR
Practice Address - Street 2:STE 125C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7312
Practice Address - Country:US
Practice Address - Phone:832-212-8319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport