Organization
TRI STAR EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFFI H AGAMAH (OWNER)
(713) 503-6902
Entity
Organization
Contact information
Practice address
12542 ASHFORD RIV, HOUSTON, TX 77072-5661
(713) 503-6902
(281) 530-6015
Mailing address
9115 DRAGONWOOD TRL, HOUSTON, TX 77083-6575
(713) 503-6902
(281) 530-6015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000115
STATE LICENSE
TX
Enumeration date
04/07/2008
Last updated
04/07/2008
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