Organization
ENA DENISE COWART KARLSTEN OTIS
Active
Other names
PREMIER EMS SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRUNECKE III (ADMINISTRATOR)
(832) 603-4200
Entity
Organization
Contact information
Practice address
6040 WESTPARK DR, UNIT # E004, HOUSTON, TX 77057-7533
(832) 603-4200
Mailing address
6040 WESTPARK DR, UNIT # E004, HOUSTON, TX 77057-7533
(832) 603-4200
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000600
TX
Other
Enumeration date
05/03/2011
Last updated
06/07/2012
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