Protec Ambulance Transport

Primary specialty

AmbulanceTaxonomy code 341600000X

License

800078 Issued in TX

Legal business name

PROTEC AMBULANCE TRANSPORT

Doing business as

Crossroads EMS

Practice address

900 Granberry St
Humble, TX 77338-4757

Phone

(281) 548-7771

NPI assigned

Feb 4, 2009

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Ray Russell

Title

Ceo

Phone

(281) 548-7771

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crossroads EMS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raul Guillermo Lopez Valle, MD

  • Family Medicine Physician
  • Humble, TX
  • NPI 1912227893
  NPD

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1629216254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1708",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773471708",
            "telephone_number": "281-330-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBERRY ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384757",
            "telephone_number": "281-548-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11495 Fm 830 Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Willis",
            "state": "TX",
            "postal_code": "773185720",
            "country_code": "US",
            "telephone_number": "936-827-7770",
            "fax_number": "936-856-8619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2624 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773963705",
            "country_code": "US",
            "telephone_number": "281-330-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROTEC AMBULANCE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-548-7771"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "800078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01007722",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203994301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.