Provider Demographics
NPI:1932387677
Name:RESCUE, LLC
Entity Type:Organization
Organization Name:RESCUE, LLC
Other - Org Name:RESCUE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WAQIALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-909-4003
Mailing Address - Street 1:PO BOX 740741
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0741
Mailing Address - Country:US
Mailing Address - Phone:713-909-4003
Mailing Address - Fax:
Practice Address - Street 1:9894 BISSONNET ST STE 912
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8272
Practice Address - Country:US
Practice Address - Phone:713-909-4003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193322801Medicaid
TXAMB944OtherBCBS
TX193322801Medicaid