Provider Demographics
NPI:1760662274
Name:FMR, INC
Entity Type:Organization
Organization Name:FMR, INC
Other - Org Name:FIRST MEDICAL RESPOND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-691-6517
Mailing Address - Street 1:3843 PARKSIDE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2561
Mailing Address - Country:US
Mailing Address - Phone:713-691-5455
Mailing Address - Fax:832-397-6997
Practice Address - Street 1:4625 NORTH FWY STE 213
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2930
Practice Address - Country:US
Practice Address - Phone:713-691-6517
Practice Address - Fax:713-691-5727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191497001Medicaid
TXP00670889OtherRAIL ROAD MEDICARE
TX191497001Medicaid
TXAMB652Medicare UPIN