Provider Demographics
NPI:1578663449
Name:NURSE MANAGEMENT EMS, INC.
Entity Type:Organization
Organization Name:NURSE MANAGEMENT EMS, INC.
Other - Org Name:NURSE MANAGEMENT EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-746-7869
Mailing Address - Street 1:146 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-3036
Mailing Address - Country:US
Mailing Address - Phone:832-746-7869
Mailing Address - Fax:281-499-5906
Practice Address - Street 1:2823 N MAIN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5511
Practice Address - Country:US
Practice Address - Phone:832-746-7869
Practice Address - Fax:281-499-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
TX8000743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179981901Medicaid
TXAMB491Medicare PIN