Organization
MIRACLE EMS INC
Active
Organization
MIRACLE EMS INC
Active
Other names
VILLAWOOD MEDICAL TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY OKONMA (PRESIDENT)
(281) 201-5538
Entity
Organization
Contact information
Practice address
10100 BELKNAP RD, SUITE A7, SUGAR LAND, TX 77498-1124
(281) 201-5538
(281) 201-5539
Mailing address
10100 BELKNAP RD, SUITE A7, SUGAR LAND, TX 77498-1124
(281) 201-5538
(281) 201-5539
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000622
TEXAS DEPARTMENT OF STATE HEALTH SERVI CES
TX
Enumeration date
05/15/2011
Last updated
05/15/2011
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