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Organization

HEALTHSOURCE EMS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEMITAYO AJAYI (PRESIDENT)
(281) 808-2628
Entity
Organization

Contact information

Practice address
20207 BROAD RUN LN, RICHMOND, TX 77407-6496
(281) 808-2628
(281) 265-1040
Mailing address
20207 BROAD RUN LN, RICHMOND, TX 77407-6496
(281) 808-2628
(281) 265-1040

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000315
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000315
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
09/10/2009
Last updated
10/27/2009
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