NPIMap

Organization Active NPI

Samson Ediae

Doing business as Lucky Emergency Medical Services

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1790042463
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000744 Issued in TX
Legal business name
SAMSON EDIAE
Doing business as
Lucky Emergency Medical Services
Practice address
9630 Clarewood Dr
Ste B6
Houston, TX 77036-3512
Phone
(713) 271-2066
Fax
(713) 271-2088
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Samson EdiaeNPI 1689937906
Title
Owner
Phone
(713) 271-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000744 TX Primary

Addresses

Primary practice location

9630 Clarewood Dr
Ste B6
Houston, TX 77036-3512

Mailing address

9630 Clarewood Dr
Ste B6
Houston, TX 77036-3512
Phone (713) 271-2066

Other names 1

  • LUCKY EMERGENCY MEDICAL SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

9630 Clarewood Dr
Ste B6
Houston, TX 77036
Phone (713) 271-2066

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1790042463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR",
            "address_2": "STE B6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363512",
            "telephone_number": "713-271-2066",
            "fax_number": "713-271-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR",
            "address_2": "STE B6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363512",
            "telephone_number": "713-271-2066",
            "fax_number": "713-271-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON EDIAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "EDIAE",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-271-2066"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCKY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.