Magnolia EMS, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000570 Issued in TX

Legal business name

MAGNOLIA EMS, LLC

Doing business as

Magnolia EMS

Practice address

6550 Mapleridge St Ste 119
Houston, TX 77081-4629

Phone

(713) 660-0558

Fax

(713) 660-0935

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Cavazos

Title

Ceo

Phone

(713) 660-0558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnolia EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1124326095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814629",
            "telephone_number": "713-660-0558",
            "fax_number": "713-660-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814629",
            "telephone_number": "713-660-0558",
            "fax_number": "713-660-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-660-0558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282289201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigael R Magno, FNP-C
• Myla Afable Magno, DNP APRN
• Magnolia 1 House
• Magnolia Chiropractic Clinic, Inc.
• Magnolia Dental Center
• Magnolia Eye Associates
• Magnolia First Family Medicine P.a.
• Magnolia Health Center
• Magnolia Home Health LLC
• Magnolia Hospice Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.