Organization
WILLOWBROOK EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLERCY GAINES (OWNER)
(631) 334-0672
Entity
Organization
Contact information
Practice address
33 LYERLY ST, SUITE A2, HOUSTON, TX 77022-3064
(631) 334-0672
(888) 887-4985
Mailing address
33 LYERLY ST, SUITE A2, HOUSTON, TX 77022-3064
(631) 334-0672
(888) 887-4985
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800035
TX
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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