Provider Demographics
NPI:1609011519
Name:PALM HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PALM HEALTH SERVICES LLC
Other - Org Name:ACE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDEL-RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-975-7800
Mailing Address - Street 1:1333 ELDRIGDE PARKWAY DR
Mailing Address - Street 2:APT 922
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1616
Mailing Address - Country:US
Mailing Address - Phone:713-975-7800
Mailing Address - Fax:713-975-7797
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:STE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:713-975-7800
Practice Address - Fax:713-975-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100116341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202391301Medicaid
TX202391301Medicaid
TX202391301Medicaid