Provider Demographics
NPI:1679353601
Name:PROMED EMS LLC
Entity type:Organization
Organization Name:PROMED EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BONIFACE
Authorized Official - Middle Name:EMENIKE
Authorized Official - Last Name:IBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-339-1533
Mailing Address - Street 1:11129 PANTHER CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5620
Mailing Address - Country:US
Mailing Address - Phone:713-339-1533
Mailing Address - Fax:281-733-3799
Practice Address - Street 1:878A S DILL ST
Practice Address - Street 2:
Practice Address - City:EAST BERNARD
Practice Address - State:TX
Practice Address - Zip Code:77435-8688
Practice Address - Country:US
Practice Address - Phone:713-339-1533
Practice Address - Fax:281-733-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance