Organization Active NPI

Mustang EMS Inc.

  • Non-emergency Medical Transport (VAN)
  • Stafford, TX
National Provider Identifier
1710923297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
800068 Issued in TX
Legal business name
MUSTANG EMS INC.
Practice address
13003 Murphy Rd
M-6
Stafford, TX 77477-3956
Phone
(281) 561-8322
Fax
(281) 561-8325
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joe Valdie Kimble
Title
President
Phone
(281) 561-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 800068 TX Primary

Addresses

Primary practice location

13003 Murphy Rd
M-6
Stafford, TX 77477-3956

Mailing address

13003 Murphy Rd
M-6
Stafford, TX 77477-3956
Phone (281) 561-8322

Other identifiers 1

IdentifierTypeStateIssuer
AMB784OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710923297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 MURPHY RD",
            "address_2": "M-6",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773956",
            "telephone_number": "281-561-8322",
            "fax_number": "281-561-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 MURPHY RD",
            "address_2": "M-6",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773956",
            "telephone_number": "281-561-8322",
            "fax_number": "281-561-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "VALDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-561-8322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "800068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB784",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.