# MAGNOLIA EMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124326095
- **Authorized official:** MR. MICHAEL J CAVAZOS (CEO)
- **Authorized official phone:** (713) 660-0558

## Contact information

- **Practice address:** 6550 MAPLERIDGE ST STE 119, HOUSTON, TX 77081-4629
- **Practice address phone:** (713) 660-0558
- **Practice address fax:** (713) 660-0935
- **Mailing address:** 6550 MAPLERIDGE ST STE 119, HOUSTON, TX 77081-4629
- **Mailing address phone:** (713) 660-0558
- **Mailing address fax:** (713) 660-0935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000570 | TX | Yes |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 03/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 282289201 | — | TX |