Provider Demographics
NPI:1508005414
Name:A-1 EMS
Entity Type:Organization
Organization Name:A-1 EMS
Other - Org Name:A-1 EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-567-2450
Mailing Address - Street 1:827 CITATION DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6374
Mailing Address - Country:US
Mailing Address - Phone:832-567-2450
Mailing Address - Fax:832-217-2935
Practice Address - Street 1:827 CITATION DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6374
Practice Address - Country:US
Practice Address - Phone:832-567-2450
Practice Address - Fax:832-217-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN