Organization Active NPI

Tri Star EMS Inc

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1164695508
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000115 Issued in TX
Legal business name
TRI STAR EMS INC
Practice address
12542 Ashford Riv
Houston, TX 77072-5661
Phone
(713) 503-6902
Fax
(281) 530-6015
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Koffi H Agamah
Title
Owner
Phone
(713) 503-6902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000115 TX Primary

Addresses

Primary practice location

12542 Ashford Riv
Houston, TX 77072-5661

Mailing address

9115 Dragonwood TRL
Houston, TX 77083-6575
Phone (713) 503-6902

Other identifiers 1

IdentifierTypeStateIssuer
1000115OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1164695508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 DRAGONWOOD TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836575",
            "telephone_number": "713-503-6902",
            "fax_number": "281-530-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12542 ASHFORD RIV",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725661",
            "telephone_number": "713-503-6902",
            "fax_number": "281-530-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "AGAMAH",
        "authorized_official_first_name": "KOFFI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-503-6902"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000115",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.