Organization
ENA DENISE COWART KARLSTEN OTIS
Active
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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