Willowbrook EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800035 Issued in TX

Legal business name

WILLOWBROOK EMS

Practice address

33 Lyerly St
Suite A2
Houston, TX 77022-3064

Phone

(631) 334-0672

Fax

(888) 887-4985

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Clercy Gaines

Title

Owner

Phone

(631) 334-0672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1104214097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LYERLY ST",
            "address_2": "SUITE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223064",
            "telephone_number": "631-334-0672",
            "fax_number": "888-887-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LYERLY ST",
            "address_2": "SUITE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223064",
            "telephone_number": "631-334-0672",
            "fax_number": "888-887-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "CLERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-334-0672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willowbend Personal Care Home
• Willowbend Pharma Select LLC
• Willowbrook Ambulatory Surgery Center LP
• Willowbrook Cardiovascular Associates, P.a.
• Willowbrook Dialysis Center LP (Willowbrook Dialysis)
• Willowbrook EMS Group Inc (Willowbrook EMS)
• Willowbrook Eye Associates PLLC
• Willowbrook Imaging LLC
• Willowbrook Infusion Center, PA
• Willowbrook Mall Dental

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.