Provider Demographics
NPI:1871747444
Name:TEXAS DVR EMERGENCY MEDICAL SERVICE, INC
Entity type:Organization
Organization Name:TEXAS DVR EMERGENCY MEDICAL SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STERLIN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-648-0689
Mailing Address - Street 1:17126 BARCELONA DR.
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:281-648-0689
Mailing Address - Fax:281-482-8246
Practice Address - Street 1:17126 BARCELONA DR.
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:281-648-0689
Practice Address - Fax:281-482-8246
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS DVR EMERGENCY MEDICAL SERVICE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-10
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport