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Organization
PATRIOT EMS GROUP, INC.
Active
Organization
PATRIOT EMS GROUP, INC.
Active
Other names
Patriot EMS Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WADE PARAMEDIC (PRESIDENT/CEO)
(281) 897-8918
Entity
Organization
Contact information
Practice address
12411 ANN LN, HOUSTON, TX 77064-1205
(281) 897-8918
(281) 897-8927
Mailing address
PO BOX 691245, HOUSTON, TX 77269-1245
(281) 897-8918
(281) 897-8927
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180243101
—
TX
01
—
AMB756
BC/BS OF TEXAS
TX
01
—
P00249093
RR MEDICARE
TX
01
—
P00249093
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
08/03/2011
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