Organization
MAR VIR LEY SELECTIONS
Active
Other names
Express EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MENEFEE (OWNER)
(832) 647-1051
Entity
Organization
Contact information
Practice address
7723 BELGARD STREET, HOUSTON, TX 77033
(832) 647-1051
(713) 731-8045
Mailing address
PO BOX 741816, HOUSTON, TX 77274
(832) 647-1051
(713) 731-8045
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011236
AMERIGROUP
TX
05
—
158938401
—
TX
Enumeration date
05/03/2007
Last updated
06/21/2008
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