WILLOWBROOK EMS GROUP INC (NPI# 1467495739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467495739 |
| Entity Type | Organization |
| Organization Name | WILLOWBROOK EMS GROUP INC |
| Other Organization Name | WILLOWBROOK EMS |
| Practice Address |
33 Lyerly Street Suite A2 Houston TX 77022 |
| Practice Telephone | 2814691551 |
| Practice Fax Number | 8888874985 |
| Mailing Telephone | 2814691551 |
| Mailing Fax Number | 8888874985 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | MR. CLERCY GAINES (OWNER) |
| Authorized Official Telephone | 2814691551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
800035 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | AMB716 | 01 |
| Other Name | Type Code |
|---|---|
| Willowbrook EMS | Doing Business As Name - Organization |
| Street Address |
33 LYERLY STREET SUITE A2 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022 |
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| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.