Provider Demographics
NPI:1689940959
Name:F&G EMS INC
Entity Type:Organization
Organization Name:F&G EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKORORIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-760-6353
Mailing Address - Street 1:9896 BISSONNET ST
Mailing Address - Street 2:SUITE 128
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8104
Mailing Address - Country:US
Mailing Address - Phone:281-760-6353
Mailing Address - Fax:713-271-7773
Practice Address - Street 1:9896 BISSONNET ST
Practice Address - Street 2:SUITE 128
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8104
Practice Address - Country:US
Practice Address - Phone:281-760-6353
Practice Address - Fax:713-271-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000790341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000790Medicaid