Provider Demographics
NPI:1942448691
Name:7074
Entity Type:Organization
Organization Name:7074
Other - Org Name:1ST DIVISION EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALCAPONE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:281-657-5841
Mailing Address - Street 1:5001 KASHMERE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-2819
Mailing Address - Country:US
Mailing Address - Phone:713-674-0403
Mailing Address - Fax:713-674-0496
Practice Address - Street 1:5001 KASHMERE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-2819
Practice Address - Country:US
Practice Address - Phone:713-674-0403
Practice Address - Fax:713-674-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000218341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance