# PROVIDIAN EMS

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

## Provider details

- **NPI number:** 1720234966
- **Authorized official:** NASSAR BENCHAITA (PRESIDENT)
- **Authorized official phone:** (832) 640-8972

## Contact information

- **Practice address:** 6820 LARKWOOD DR, HOUSTON, TX 77074-3520
- **Practice address phone:** (832) 640-8972
- **Mailing address:** 6820 LARKWOOD DR, HOUSTON, TX 77074-3520
- **Mailing address phone:** (832) 640-8972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000147 | TX | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 06/22/2009