Organization
MEDICAL CENTER EMERGENCY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BROUSSARD (PRESIDENT)
(713) 450-1000
Entity
Organization
Contact information
Practice address
8191 SOUTHWEST FWY, 203, HOUSTON, TX 77074-1709
(713) 450-1000
(713) 450-4141
Mailing address
PO BOX 9827, HOUSTON, TX 77213-0827
(713) 450-1000
(713) 450-4141
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AMB353
—
TX
Enumeration date
09/15/2005
Last updated
08/22/2020
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