Healthcare Provider Details
I. General information
NPI: 1649620162
Provider Name (Legal Business Name): NUECES COUNTY EMERGENCY SERVICE DIST NO 2
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2016
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
337 YORKTOWN BLVD
CORPUS CHRISTI TX
78418-3161
US
IV. Provider business mailing address
PO BOX 495548
GARLAND TX
75049-5548
US
V. Phone/Fax
- Phone: 855-270-2499
- Fax: 972-278-4313
- Phone: 855-270-2499
- Fax: 972-278-4313
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NENA
S
RICHMOND
Title or Position: MCS BILLING DIRECTOR
Credential:
Phone: 855-270-2499