Organization
ST JUDE EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL PERALES JR. (OWNER)
(281) 658-3990
Entity
Organization
Contact information
Practice address
8230 BONNER DR, HOUSTON, TX 77017-4704
(281) 658-3990
(713) 454-0303
Mailing address
8230 BONNER DR, HOUSTON, TX 77017-4704
(281) 658-3990
(713) 454-0303
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB810
MEDICARE PROVIDER NUMBER
TX
Enumeration date
01/15/2009
Last updated
06/10/2009
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