Organization
MAGNOLIA EMS, LLC
Active
Other names
Magnolia EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CAVAZOS (CEO)
(713) 660-0558
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 119, HOUSTON, TX 77081-4629
(713) 660-0558
(713) 660-0935
Mailing address
6550 MAPLERIDGE ST STE 119, HOUSTON, TX 77081-4629
(713) 660-0558
(713) 660-0935
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282289201
—
TX
Enumeration date
03/02/2011
Last updated
03/24/2022
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