Organization
HEALTHSOURCE EMS LLC
Active
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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