Provider Demographics
NPI:1467786269
Name:WARE, EGBE FLORENCE (EMT)
Entity Type:Individual
Prefix:MRS
First Name:EGBE
Middle Name:FLORENCE
Last Name:WARE
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 DOE RUN RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5945
Mailing Address - Country:US
Mailing Address - Phone:832-207-9567
Mailing Address - Fax:281-741-5745
Practice Address - Street 1:3026 DOE RUN RD
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5945
Practice Address - Country:US
Practice Address - Phone:832-207-9567
Practice Address - Fax:281-741-5745
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000326341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX263743684OtherEIN