Provider Demographics
NPI:1558640037
Name:HALLMARK EMS INC
Entity Type:Organization
Organization Name:HALLMARK EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:UWAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-835-6858
Mailing Address - Street 1:5925 PHELAN BLVD
Mailing Address - Street 2:UNIT I STE 115
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6253
Mailing Address - Country:US
Mailing Address - Phone:713-835-6858
Mailing Address - Fax:
Practice Address - Street 1:5925 PHELAN BLVD
Practice Address - Street 2:UNIT I STE 115
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6253
Practice Address - Country:US
Practice Address - Phone:713-835-6858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport