Organization
STEPHEN OGAVU
Active
Other names
Lifeline Care EMS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN OGAVU (OWNER/CEO)
(832) 228-8483
Entity
Organization
Contact information
Practice address
8213 FARTHING LANE, ROSHARON, TX 77583-6634
(832) 228-8483
Mailing address
PO BOX 421854, HOUSTON, TX 77242-1854
(832) 228-8433
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000163
EMS PROVIDER LICENCE
TX
Enumeration date
04/03/2009
Last updated
06/10/2009
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