Organization
PROVIDIAN EMS
Active
Other names
PROVIDIAN EMS INC
Organization subpart
No
Provider details
NPI number
Authorized official
NASSAR BENCHAITA (PRESIDENT)
(832) 640-8972
Entity
Organization
Contact information
Practice address
6820 LARKWOOD DR, HOUSTON, TX 77074-3520
(832) 640-8972
Mailing address
6820 LARKWOOD DR, HOUSTON, TX 77074-3520
(832) 640-8972
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000147
TX
Other
Enumeration date
08/07/2008
Last updated
06/22/2009
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