Provider Demographics
NPI:1932480738
Name:DUCARE EMS INC
Entity Type:Organization
Organization Name:DUCARE EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-664-4949
Mailing Address - Street 1:3003 S LOOP W
Mailing Address - Street 2:SUITE 415B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1380
Mailing Address - Country:US
Mailing Address - Phone:713-664-4949
Mailing Address - Fax:713-481-0853
Practice Address - Street 1:3003 S LOOP W
Practice Address - Street 2:SUITE 415B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1380
Practice Address - Country:US
Practice Address - Phone:713-664-4949
Practice Address - Fax:713-481-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport