Provider Demographics
NPI:1477854990
Name:AFCON RESOURCES LLC
Entity Type:Organization
Organization Name:AFCON RESOURCES LLC
Other - Org Name:VANTAGE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FADAIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:713-772-2273
Mailing Address - Street 1:PO BOX 42179
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-2179
Mailing Address - Country:US
Mailing Address - Phone:713-772-2273
Mailing Address - Fax:281-558-2782
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:STE 325G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-772-2273
Practice Address - Fax:713-772-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000530341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport