MEDICARE: HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO. 3

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1043085913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO. 3

Provider Business Mailing Address
First Line	:	PO BOX 226954
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75222-6954
Country	:	US
Telephone Number	:	972-602-2060
Fax Number	:

Provider Business Practice Location Address
First Line	:	17774 CYPRESS ROSEHILL RD
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-7831
Country	:	US
Telephone Number	:	713-887-3905
Fax Number	:

Authorized Official
Title or Position	:	EMS CHIEF
Name	:	GAYLE JERNSTROM
Credential	:
Telephone Number	:	713-887-3905

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	05/13/2026

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