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Organization
SOUTH LAKE HOUSTON EMERGENCY MEDICAL SERVICES
Active
Organization
SOUTH LAKE HOUSTON EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LAAKE (AUTHORIZED AGENT)
(281) 397-0397
Entity
Organization
Contact information
Practice address
14418 BEAUMONT HIGHWAY, HOUSTON, TX 77049
(281) 459-2807
(281) 459-3078
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000470701
—
TX
05
—
1635723
—
LA
01
—
590007479
RAILROAD MEDICARE
—
Enumeration date
03/10/2006
Last updated
01/11/2011
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