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Organization

LARRY D HARPER

Active
Other names
Upscale EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRI A SOUTHALL (OFFICE MANAGER)
(281) 253-9908
Entity
Organization

Contact information

Practice address
8800 BISSONNET, STE I, HOUSTON, TX 77074
(713) 787-6269
(713) 270-9510
Mailing address
PO BOX 721540, HOUSTON, TX 77272
(713) 787-6269
(713) 270-9510

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101317
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166912901
TX
01
9729969610
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/15/2006
Last updated
07/16/2008
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