Provider Demographics
NPI:1649417569
Name:KEEBLE LOVALL
Entity Type:Organization
Organization Name:KEEBLE LOVALL
Other - Org Name:YOUR HEALTH EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEEBLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-238-8384
Mailing Address - Street 1:12763 CAPRICORN ST
Mailing Address - Street 2:#600
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3980
Mailing Address - Country:US
Mailing Address - Phone:281-277-0212
Mailing Address - Fax:
Practice Address - Street 1:12763 CAPRICORN ST
Practice Address - Street 2:#600
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3980
Practice Address - Country:US
Practice Address - Phone:281-277-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance