Organization Active NPI

First Medical Response of Texas, Inc.

Doing business as First Medical Response

  • Land Ambulance
  • Spring, TX
National Provider Identifier
1487699070
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
300702 Issued in TX
Legal business name
FIRST MEDICAL RESPONSE OF TEXAS, INC.
Doing business as
First Medical Response
Practice address
21128 Spring Town Dr
Spring, TX 77388-3509
Phone
(832) 371-6887
Fax
(832) 371-6887
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Mr. Wael Fawaz
Title
President
Phone
(832) 371-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300702 TX Primary

Addresses

Primary practice location

21128 Spring Town Dr
Spring, TX 77388-3509

Mailing address

21128 Spring Town Dr
Spring, TX 77388-3509
Phone (832) 371-6887

Other practice location 1

921 Monadale Trl
Round Rock, TX 78664-7788
Phone (512) 233-4929

Other identifiers 3

IdentifierTypeStateIssuer
AMB712OtherTXBLUE CROSS BLUE SHIELD
P00284418OtherTXMEDICARE RAILROAD
165682901MedicaidTX

Other names 1

  • First Medical Response Doing business as

National Provider Directory

National Provider Directory

Locations

5550 FM 1516 N
Converse, TX 78109
Phone (512) 233-4929

21128 Spring Town Dr
Spring, TX 77388
Phone (512) 233-4929

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1487699070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21128 SPRING TOWN DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883509",
            "telephone_number": "832-371-6887",
            "fax_number": "832-371-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21128 SPRING TOWN DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883509",
            "telephone_number": "832-371-6887",
            "fax_number": "832-371-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Monadale Trl",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647788",
            "country_code": "US",
            "telephone_number": "512-233-4929",
            "fax_number": "512-233-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST MEDICAL RESPONSE OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "FAWAZ",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-371-6887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB712",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00284418",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165682901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.