Organization
ABOVE AVERAGE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD EARL SMITH (ADMINISTRATOR)
(281) 761-7611
Entity
Organization
Contact information
Practice address
4434 BLUEBONNET DR # 122, STAFFORD, TX 77477-2904
(281) 761-7611
(832) 941-0381
Mailing address
4434 BLUEBONNET DR # 122, STAFFORD, TX 77477-2904
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000853
TX
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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