Advanced Life Support Systems Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E4818 Issued in TX

Legal business name

ADVANCED LIFE SUPPORT SYSTEMS INC

Practice address

11707 Aldine Westfield Rd
Houston, TX 77093-1801

Phone

(713) 542-0366

Fax

(281) 442-7082

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By 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

Mr. Wesley James Hammer

Title

President

Phone

(281) 257-6229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1780846519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 ALDINE WESTFIELD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77093",
            "telephone_number": "713-542-0366",
            "fax_number": "281-442-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 ALDINE WESTFIELD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770931801",
            "telephone_number": "713-542-0366",
            "fax_number": "281-442-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIFE SUPPORT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-257-6229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.