Excelsior EMS, LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800107 Issued in TX

Legal business name

EXCELSIOR EMS, LLC.

Practice address

3764 Greenbriar Dr
Stafford, TX 77477-3924

Phone

(713) 694-4004

Fax

(713) 583-6246

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Gail Coleman

Title

President

Phone

(713) 694-4004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1720014004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 GREENBRIAR DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773924",
            "telephone_number": "713-694-4004",
            "fax_number": "713-583-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3764 GREENBRIAR DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773924",
            "telephone_number": "713-694-4004",
            "fax_number": "713-583-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR EMS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-694-4004"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stafford, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.