Provider Demographics
NPI:1821387986
Name:STANDARD EMS INC
Entity Type:Organization
Organization Name:STANDARD EMS INC
Other - Org Name:STANDARD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-854-0053
Mailing Address - Street 1:6302 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-5707
Mailing Address - Country:US
Mailing Address - Phone:832-762-8643
Mailing Address - Fax:832-201-9356
Practice Address - Street 1:6302 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5707
Practice Address - Country:US
Practice Address - Phone:832-762-8643
Practice Address - Fax:832-201-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821387986Medicaid