Provider Demographics
NPI:1851496038
Name:BAYOU CITY E M S GROUP INC
Entity Type:Organization
Organization Name:BAYOU CITY E M S GROUP INC
Other - Org Name:BAYOU CITY E M S GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASAS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:832-487-0400
Mailing Address - Street 1:PO BOX 451960
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77245-1960
Mailing Address - Country:US
Mailing Address - Phone:832-487-0400
Mailing Address - Fax:713-434-9622
Practice Address - Street 1:8399 ALMEDA RD
Practice Address - Street 2:STE M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-7119
Practice Address - Country:US
Practice Address - Phone:832-487-0400
Practice Address - Fax:713-434-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101554341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB613OtherBCBS
TX149508701Medicaid
TXAMB207Medicare PIN
TXP00080976Medicare PIN