# LIFE LINE EMERGENCY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFE LINE EMS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114113255
- **Authorized official:** MR. WILLIE LEE LARRY (CEO)
- **Authorized official phone:** (713) 773-3522

## Contact information

- **Practice address:** 8700 COMMERCE PARK DR, STE 214, HOUSTON, TX 77036-7497
- **Practice address phone:** (713) 773-3522
- **Practice address fax:** (713) 776-1977
- **Mailing address:** 2626 S. LOOP WEST, SUITE 340, HOUSTON, TX 77054-5613
- **Mailing address phone:** (713) 669-1090
- **Mailing address fax:** (713) 669-1091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000067 | TX | Yes |

## Other

- **Enumeration date:** 09/22/2007
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AMB928 | BCBS OF TEXAS | TX |
