Organization
PROTEC AMBULANCE TRANSPORT
Active
Other names
Crossroads EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAY RUSSELL (CEO)
(281) 548-7771
Entity
Organization
Contact information
Practice address
900 GRANBERRY ST, HUMBLE, TX 77338-4757
(281) 548-7771
Mailing address
PO BOX 1708, HUMBLE, TX 77347-1708
(281) 330-0330
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
800078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203994301
—
TX
01
—
P01007722
RAILROAD
TX
Enumeration date
02/04/2009
Last updated
09/30/2020
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