# IMMACULATE EMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** immaculate medical supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821276056
- **Authorized official:** CHRISTOPHER ANANI (DIRECTOR)
- **Authorized official phone:** (832) 419-1199

## Contact information

- **Practice address:** 9001 AIRPORT BLVD STE 703, HOUSTON, TX 77061-3447
- **Practice address phone:** (832) 419-1199
- **Mailing address:** PO BOX 570185, HOUSTON, TX 77257-0185
- **Mailing address phone:** (832) 419-1199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 07/09/2009