Organization
PHOENIX EMERGENCY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM MORIN EMT-P (ADMINISTRATOR)
(281) 392-4251
Entity
Organization
Contact information
Practice address
761 CAROLINA ST, KATY, TX 77494-8252
(281) 392-4251
(281) 392-8177
Mailing address
761 CAROLINA ST, KATY, TX 77494-8252
(281) 392-4251
(281) 392-8177
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
300260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300260
STATE PROVIDER #
TX
05
—
AOAMB0934
—
TX
Enumeration date
10/27/2005
Last updated
05/30/2008
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