| Organization Name: | EXPRESS EMS, LLC |
| NPI Number: | 1023394236 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEE GIBSON (MANAGER/OWNER) |
| Mailing Address: | 4434 Bluebonnet Dr Stafford |
| State: | TX US |
| Postal Code: | 774772904 |
| Phone Number: | 8325327133 |
| Fax Number: | 8325327264 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |