Provider Demographics
NPI:1558671453
Name:VITUS CHIDERA NWOKEM
Entity Type:Organization
Organization Name:VITUS CHIDERA NWOKEM
Other - Org Name:ALL SAINT EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VITUS
Authorized Official - Middle Name:CHIDERA
Authorized Official - Last Name:NWOKEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-533-2366
Mailing Address - Street 1:7447 HARWIN DR
Mailing Address - Street 2:SUITE 220C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2016
Mailing Address - Country:US
Mailing Address - Phone:832-533-2366
Mailing Address - Fax:
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:SUITE 220C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2016
Practice Address - Country:US
Practice Address - Phone:832-533-2366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport