Organization
EXTENDED CARE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS RANDLE (OWNER)
(832) 276-4285
Entity
Organization
Contact information
Practice address
10209 MARKET ST., A, HOUSTON, TX 77029
(713) 673-3199
(713) 673-8914
Mailing address
10209 MARKET ST., A, HOUSTON, TX 77029
(713) 673-3199
(713) 673-8914
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101269
TX
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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