# ADVANCED LIFE SUPPORT SYSTEMS INC

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

## Provider details

- **NPI number:** 1780846519
- **Authorized official:** MR. WESLEY JAMES HAMMER (PRESIDENT)
- **Authorized official phone:** (281) 257-6229

## Contact information

- **Practice address:** 11707 ALDINE WESTFIELD RD, HOUSTON, TX 77093-1801
- **Practice address phone:** (713) 542-0366
- **Practice address fax:** (281) 442-7082
- **Mailing address:** 11707 ALDINE WESTFIELD, HOUSTON, TX 77093
- **Mailing address phone:** (713) 542-0366
- **Mailing address fax:** (281) 442-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E4818 | TX | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 07/02/2008