Provider Demographics
NPI:1912284878
Name:SUNRISE EMS
Entity Type:Organization
Organization Name:SUNRISE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSONDU
Authorized Official - Middle Name:H
Authorized Official - Last Name:IGUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-878-2816
Mailing Address - Street 1:10039 BISSONNET ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7854
Mailing Address - Country:US
Mailing Address - Phone:832-878-2816
Mailing Address - Fax:713-778-1982
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:SUITE 209
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:832-878-2816
Practice Address - Fax:713-778-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport