Provider Demographics
NPI:1932283066
Name:MIDAS CARE EMS INC
Entity Type:Organization
Organization Name:MIDAS CARE EMS INC
Other - Org Name:MIDAS CARE EMS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FESTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-266-9004
Mailing Address - Street 1:7457 HARWIN DR
Mailing Address - Street 2:SUITE 296
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2018
Mailing Address - Country:US
Mailing Address - Phone:713-266-9004
Mailing Address - Fax:713-266-9006
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:SUITE 296
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:713-266-9004
Practice Address - Fax:713-266-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800196341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185153701Medicaid
TX185153701Medicaid
TXAMB542Medicare PIN