# PROVIDENCE REGIONAL EMS LLC

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

## Provider details

- **NPI number:** 1457546962
- **Authorized official:** ROMAN GABRIEL (OWNER)
- **Authorized official phone:** (713) 429-2494

## Contact information

- **Practice address:** 12999 MURPHY RD, STAFFORD, TX 77477-3955
- **Practice address phone:** (713) 429-2494
- **Mailing address:** 12999 MURPHY RD, STAFFORD, TX 77477-3955
- **Mailing address phone:** (713) 429-2494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000054 | TX | Yes |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 02/09/2010
