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Organization
LA VIDA EMS INC
Active
Organization
LA VIDA EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD MASRI (OWNER)
(832) 512-2187
Entity
Organization
Contact information
Practice address
10603 STANCLIFF RD, HOUSTON, TX 77099-4330
(832) 512-2187
Mailing address
PO BOX 631005, HOUSTON, TX 77263-1005
(832) 512-2187
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000162
STATE LICENSE
TX
Enumeration date
10/04/2008
Last updated
10/04/2008
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