Provider Demographics
NPI:1629298344
Name:MERCY MEDICAL EMS
Entity Type:Organization
Organization Name:MERCY MEDICAL EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P,
Authorized Official - Phone:713-320-1958
Mailing Address - Street 1:8435 HEARTH DR
Mailing Address - Street 2:#8
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2744
Mailing Address - Country:US
Mailing Address - Phone:713-320-1958
Mailing Address - Fax:713-692-8544
Practice Address - Street 1:8435 HEARTH DR
Practice Address - Street 2:#8
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2744
Practice Address - Country:US
Practice Address - Phone:713-320-1958
Practice Address - Fax:713-692-8544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800171146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty