Healthcare Provider Details

I. General information

NPI: 1841268307
Provider Name (Legal Business Name): DIMMIT COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 E NOPAL ST
CARRIZO SPRINGS TX
78834-3328
US

IV. Provider business mailing address

PO BOX 341
CARRIZO SPRINGS TX
78834-6341
US

V. Phone/Fax

Practice location:
  • Phone: 830-876-9505
  • Fax: 830-876-5590
Mailing address:
  • Phone: 830-876-9505
  • Fax: 830-876-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateTX

VIII. Authorized Official

Name: SONIA SALAZAR
Title or Position: EMS DIRECTOR
Credential:
Phone: 830-876-9505