Provider Demographics
NPI:1942448428
Name:CRESCENT EMS, LLC
Entity Type:Organization
Organization Name:CRESCENT EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-497-0022
Mailing Address - Street 1:9915 GOLDENGLADE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-3828
Mailing Address - Country:US
Mailing Address - Phone:281-497-0022
Mailing Address - Fax:281-497-0232
Practice Address - Street 1:9915 GOLDENGLADE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-3828
Practice Address - Country:US
Practice Address - Phone:281-497-0022
Practice Address - Fax:281-497-0232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000205341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance