Provider Demographics
NPI:1457435141
Name:PRO MED EMS INCORPORATED
Entity Type:Organization
Organization Name:PRO MED EMS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYMES
Authorized Official - Middle Name:FITZGERALD
Authorized Official - Last Name:CAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-682-5152
Mailing Address - Street 1:PO BOX 924365
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-4365
Mailing Address - Country:US
Mailing Address - Phone:713-682-5152
Mailing Address - Fax:713-682-5426
Practice Address - Street 1:10301 NORTHWEST FWY
Practice Address - Street 2:SUITE 312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8225
Practice Address - Country:US
Practice Address - Phone:713-682-5152
Practice Address - Fax:713-682-5426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101507341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB453Medicare ID - Type Unspecified