Healthcare Provider Details

I. General information

NPI: 1609296805
Provider Name (Legal Business Name): COMAL COUNTY EMERGENCY SERVICES DISTRICT 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2014
Last Update Date: 04/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 SCISSORTAIL
CANYON LAKE TX
78133-4123
US

IV. Provider business mailing address

PO BOX 2140
CANYON LAKE TX
78133-0024
US

V. Phone/Fax

Practice location:
  • Phone: 803-907-2922
  • Fax: 830-907-2923
Mailing address:
  • Phone: 830-907-2922
  • Fax: 803-907-2923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1000921
License Number StateTX

VIII. Authorized Official

Name: ANGELA HEMPHILL
Title or Position: MANAGER
Credential:
Phone: 830-907-2922