# PATRIOT EMS GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot EMS Group, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578584124
- **Authorized official:** SHANNON WADE PARAMEDIC (PRESIDENT/CEO)
- **Authorized official phone:** (281) 897-8918

## Contact information

- **Practice address:** 12411 ANN LN, HOUSTON, TX 77064-1205
- **Practice address phone:** (281) 897-8918
- **Practice address fax:** (281) 897-8927
- **Mailing address:** PO BOX 691245, HOUSTON, TX 77269-1245
- **Mailing address phone:** (281) 897-8918
- **Mailing address fax:** (281) 897-8927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 101503 | TX | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/03/2011

## 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 | — |