Provider Demographics
NPI:1528394939
Name:MEDIC RESPONSE INC
Entity Type:Organization
Organization Name:MEDIC RESPONSE INC
Other - Org Name:MEDIC RESPONSE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-352-6634
Mailing Address - Street 1:PO BOX 710122
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0122
Mailing Address - Country:US
Mailing Address - Phone:832-352-6634
Mailing Address - Fax:832-426-0288
Practice Address - Street 1:2041 SANDY KNOLL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3072
Practice Address - Country:US
Practice Address - Phone:832-352-6634
Practice Address - Fax:832-426-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10003193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport