Provider Demographics
NPI:1881868321
Name:INFINITY EMS LLC
Entity Type:Organization
Organization Name:INFINITY EMS LLC
Other - Org Name:INFINITY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-884-0205
Mailing Address - Street 1:5645 HILLCROFT STREET
Mailing Address - Street 2:SUITE 602
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2289
Mailing Address - Country:US
Mailing Address - Phone:832-448-0205
Mailing Address - Fax:832-554-9727
Practice Address - Street 1:5645 HILLCROFT STREET
Practice Address - Street 2:SUITE 602
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2289
Practice Address - Country:US
Practice Address - Phone:832-448-0205
Practice Address - Fax:832-554-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000123341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000123OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES
TXAMB959OtherBLUE CROSS BLUE SHIELD
TX=========OtherEIN