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Organization
PROVIDENCE REGIONAL EMS LLC
Active
Organization
PROVIDENCE REGIONAL EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN GABRIEL (OWNER)
(713) 429-2494
Entity
Organization
Contact information
Practice address
12999 MURPHY RD, STAFFORD, TX 77477-3955
(713) 429-2494
Mailing address
12999 MURPHY RD, STAFFORD, TX 77477-3955
(713) 429-2494
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000054
TX
Other
Enumeration date
09/07/2007
Last updated
02/09/2010
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