Powell Professional of West Texas, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

100469 Issued in TX

Legal business name

POWELL PROFESSIONAL OF WEST TEXAS, LLC

Doing business as

Guardian EMS

Practice address

1501 4TH St
Brownwood, TX 76801-4430

Phone

(325) 643-4840

NPI assigned

Jun 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ricky Lee Powell

Title

Member

Phone

(979) 733-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guardian EMS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1104137322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 BOWIE ST",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342343",
            "telephone_number": "979-733-0010",
            "fax_number": "979-733-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 4TH ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768014430",
            "telephone_number": "325-643-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PROFESSIONAL OF WEST TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "979-733-0010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "100469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "100469",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Leigh Phillips, LPC
• Julia Dawn Pointer, LVN
• Steven Polaski, L.P.C.
• Klarisa Posey, FNP-BC
• Stephanie Powdar, PA-C
• Curtis Powell, EMT-I
• Tyler Ray Pruitt
• Glen A. Pu, M.D.
• Terry Vincent Pursley, M.D.
• Michael Allen Qunell, M. ED., LPC

• Land Ambulance in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.