# EXTENDED CARE EMS

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

## Provider details

- **NPI number:** 1962595512
- **Authorized official:** THADDEUS RANDLE (OWNER)
- **Authorized official phone:** (832) 276-4285

## Contact information

- **Practice address:** 10209 MARKET ST., A, HOUSTON, TX 77029
- **Practice address phone:** (713) 673-3199
- **Practice address fax:** (713) 673-8914
- **Mailing address:** 10209 MARKET ST., A, HOUSTON, TX 77029
- **Mailing address phone:** (713) 673-3199
- **Mailing address fax:** (713) 673-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 101269 | TX | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020
