Provider Demographics
NPI:1366726192
Name:SPRINGBOARD EMS LLC
Entity type:Organization
Organization Name:SPRINGBOARD EMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-407-8145
Mailing Address - Street 1:8633 W AIRPORT BLVD
Mailing Address - Street 2:1022
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2479
Mailing Address - Country:US
Mailing Address - Phone:832-407-8145
Mailing Address - Fax:713-981-6554
Practice Address - Street 1:8633 W AIRPORT BLVD
Practice Address - Street 2:1022
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2479
Practice Address - Country:US
Practice Address - Phone:832-407-8145
Practice Address - Fax:713-981-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport