Provider Demographics
NPI:1538305388
Name:EPIC AMBULANCE, LLC
Entity Type:Organization
Organization Name:EPIC AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PREM
Authorized Official - Middle Name:P
Authorized Official - Last Name:GOGIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PHD
Authorized Official - Phone:713-270-5375
Mailing Address - Street 1:PO BOX 421118
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-1118
Mailing Address - Country:US
Mailing Address - Phone:713-270-5375
Mailing Address - Fax:713-270-5718
Practice Address - Street 1:6100 CORPORATE DR
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3419
Practice Address - Country:US
Practice Address - Phone:713-776-3307
Practice Address - Fax:713-776-8072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10002023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport