Provider Demographics
NPI:1780836247
Name:SOUTHLAND EMS CARE, INC
Entity type:Organization
Organization Name:SOUTHLAND EMS CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:ASHIEDU
Authorized Official - Last Name:OKOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-0095
Mailing Address - Street 1:12818 CENTURY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4224
Mailing Address - Country:US
Mailing Address - Phone:281-240-0095
Mailing Address - Fax:281-240-0039
Practice Address - Street 1:12818 CENTURY DR STE 103
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4224
Practice Address - Country:US
Practice Address - Phone:281-240-0095
Practice Address - Fax:281-240-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN