Provider Demographics
NPI:1427379981
Name:ST DOMINIC EMS INC
Entity Type:Organization
Organization Name:ST DOMINIC EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAJEVWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-979-7421
Mailing Address - Street 1:PO BOX 710334
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0334
Mailing Address - Country:US
Mailing Address - Phone:713-979-7421
Mailing Address - Fax:713-838-0356
Practice Address - Street 1:7814 SUN RISE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5645
Practice Address - Country:US
Practice Address - Phone:713-979-7421
Practice Address - Fax:713-838-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport