Provider Demographics
NPI:1881630267
Name:EAGLE EMS LLC
Entity Type:Organization
Organization Name:EAGLE EMS LLC
Other - Org Name:EAGLE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:GREGORIO
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT BASIC
Authorized Official - Phone:281-881-1287
Mailing Address - Street 1:1505 HUSSION ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-4803
Mailing Address - Country:US
Mailing Address - Phone:713-227-1045
Mailing Address - Fax:713-227-1072
Practice Address - Street 1:1505 HUSSION ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-4803
Practice Address - Country:US
Practice Address - Phone:713-227-1045
Practice Address - Fax:713-227-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport