Provider Demographics
NPI:1760637375
Name:MAXCEL EMS, LLC
Entity Type:Organization
Organization Name:MAXCEL EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENCIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:PASAOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-353-0800
Mailing Address - Street 1:PO BOX 3302
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383-3302
Mailing Address - Country:US
Mailing Address - Phone:281-353-0800
Mailing Address - Fax:281-353-0801
Practice Address - Street 1:2530 SPRING CYPRESS RD STE 5B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4655
Practice Address - Country:US
Practice Address - Phone:281-353-0800
Practice Address - Fax:281-353-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000191341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance