Provider Demographics
NPI:1598930737
Name:QUALITY QUICKSERV EMS, INC.
Entity Type:Organization
Organization Name:QUALITY QUICKSERV EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHOISE
Authorized Official - Middle Name:GERTRUDE
Authorized Official - Last Name:ORIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-664-0707
Mailing Address - Street 1:2646 S LOOP W
Mailing Address - Street 2:SUITE 384
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2665
Mailing Address - Country:US
Mailing Address - Phone:713-664-0707
Mailing Address - Fax:713-668-9412
Practice Address - Street 1:2646 S LOOP W
Practice Address - Street 2:SUITE 384
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2665
Practice Address - Country:US
Practice Address - Phone:713-664-0707
Practice Address - Fax:713-668-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000121341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB741Medicare PIN