Organization
LIFE LINE EMERGENCY SERVICES LLC
Active
Other names
LIFE LINE EMS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE LEE LARRY (CEO)
(713) 773-3522
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR, STE 214, HOUSTON, TX 77036-7497
(713) 773-3522
(713) 776-1977
Mailing address
2626 S. LOOP WEST, SUITE 340, HOUSTON, TX 77054-5613
(713) 669-1090
(713) 669-1091
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB928
BCBS OF TEXAS
TX
Enumeration date
09/22/2007
Last updated
06/21/2018
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