# LIFEWAY EMS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeway EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699855114
- **Authorized official:** ENE HOGAN (OWNER)
- **Authorized official phone:** (713) 728-5656

## Contact information

- **Practice address:** 2656 SOUTH LOOP W, 506, HOUSTON, TX 77054-2664
- **Practice address phone:** (713) 728-5656
- **Practice address fax:** (713) 669-1091
- **Mailing address:** 2656 SOUTH LOOP W, 506, HOUSTON, TX 77054-2664
- **Mailing address phone:** (713) 728-5656
- **Mailing address fax:** (713) 669-1091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 101315 | TX | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 07/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 162585701 | — | TX |
| 01 | — | AMB757 | BLUE CROSS BLUE SHIELD | TX |