# IMPERIAL VEMS

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

## Provider details

- **NPI number:** 1770566184
- **Authorized official:** MRS. SHANNA WORTHINGTON (DIRECTOR)
- **Authorized official phone:** (915) 536-2410

## Contact information

- **Practice address:** 319 S FIRST, IMPERIAL, TX 79743
- **Practice address phone:** (915) 536-2410
- **Practice address fax:** (915) 536-2258
- **Mailing address:** 8300 BISSONNET ST, STE 205, HOUSTON, TX 77074-3900
- **Mailing address phone:** (713) 773-4355
- **Mailing address fax:** (713) 773-4363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 186004 | TX | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 08/22/2020