# SPACE CITY EMS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275692287
- **Authorized official:** MRS. MELISSA FONSECA (OWNER)
- **Authorized official phone:** (713) 944-4667

## Contact information

- **Practice address:** 7999 HANSEN RD STE 308, HOUSTON, TX 77061-3450
- **Practice address phone:** (713) 944-4667
- **Practice address fax:** (713) 946-4888
- **Mailing address:** 7999 HANSEN RD STE 308, HOUSTON, TX 77061-3450
- **Mailing address phone:** (713) 944-4667
- **Mailing address fax:** (713) 946-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 800204 | TX | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 800204 | PROVIDER STATE LICENSE | TX |