Organization
WILLOWBROOK EMS GROUP INC
Active
Other names
Willowbrook EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLERCY GAINES (OWNER)
(281) 469-1551
Entity
Organization
Contact information
Practice address
519 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77060-4136
(281) 469-1551
(888) 887-4985
Mailing address
519 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77060-4136
(281) 469-1551
(888) 887-4985
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB716
BCBS
TX
Enumeration date
06/14/2006
Last updated
11/04/2024
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