Organization
PATRIOT EMS GROUP, INC.
Active
Other names
Patriot EMS Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WADE PARAMEDIC (PRESIDENT/CEO)
(281) 897-8918
Entity
Organization
Contact information
Practice address
12411 ANN LN, HOUSTON, TX 77064-1205
(281) 897-8918
(281) 897-8927
Mailing address
PO BOX 691245, HOUSTON, TX 77269-1245
(281) 897-8918
(281) 897-8927
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180243101
—
TX
01
—
AMB756
BC/BS OF TEXAS
TX
01
—
P00249093
RR MEDICARE
TX
01
—
P00249093
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
08/03/2011
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