Provider Demographics
NPI:1760616650
Name:FALCON EMS INC
Entity Type:Organization
Organization Name:FALCON EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIDIEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-723-9952
Mailing Address - Street 1:PO BOX 771263
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77215-1263
Mailing Address - Country:US
Mailing Address - Phone:832-723-9952
Mailing Address - Fax:713-953-0235
Practice Address - Street 1:6250 WESTPARK DR
Practice Address - Street 2:STE 330F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7322
Practice Address - Country:US
Practice Address - Phone:832-723-9952
Practice Address - Fax:713-953-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10002433416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN