Provider Demographics
NPI:1619249331
Name:LIGHT EMS INCORPORATED
Entity Type:Organization
Organization Name:LIGHT EMS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:UWAKONYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-362-5385
Mailing Address - Street 1:8700 COMMERCE PARK DR
Mailing Address - Street 2:STE 228G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7497
Mailing Address - Country:US
Mailing Address - Phone:832-362-5385
Mailing Address - Fax:832-379-5195
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:STE 228G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:832-362-5385
Practice Address - Fax:832-379-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007553416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport