Healthcare Provider Details

I. General information

NPI: 1407960180
Provider Name (Legal Business Name): CITIZENS EMERGENCY MEDICAL SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 S 1ST ST W UNIT A
CLYDE TX
79510-4035
US

IV. Provider business mailing address

PO BOX 1556
CLYDE TX
79510-1556
US

V. Phone/Fax

Practice location:
  • Phone: 325-893-5754
  • Fax: 325-893-4127
Mailing address:
  • Phone: 325-893-5754
  • Fax: 325-893-4127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number030001
License Number StateTX

VIII. Authorized Official

Name: MR. VICTOR EUGENE HUDMAN II
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 325-893-1074