Provider Demographics
NPI:1437429271
Name:A-1 OMEGA EMS INC
Entity Type:Organization
Organization Name:A-1 OMEGA EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRINCE PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBONLAHOR
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:713-363-4261
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 598 I
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-343-4261
Mailing Address - Fax:832-328-9313
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 598 I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-343-4261
Practice Address - Fax:832-328-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000743341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN