Organization · Type 2 NPI

Texas Em-1 Medical Services, PA

Nurse Practitioner · Houston, TX

NPI number 1104993617 Active

Practice location

1313 Hermann Dr
Houston, TX 77004-7005

Fax (214) 712-2487

Mailing address

1717 Main St, Suite 5200
Dallas, TX 75201-4612

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104993617

Texas Em-1 Medical Services, PA's National Provider Identifier is 1104993617, issued on Nov 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on Sep 11, 2025.