Healthcare Provider Details

I. General information

NPI: 1821036831
Provider Name (Legal Business Name): HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO.5
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 FM 2100 RD
CROSBY TX
77532-5615
US

IV. Provider business mailing address

PO BOX 1604
CROSBY TX
77532-1604
US

V. Phone/Fax

Practice location:
  • Phone: 281-328-6810
  • Fax: 281-328-9992
Mailing address:
  • Phone: 281-328-6810
  • Fax: 281-328-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number101274
License Number StateTX

VIII. Authorized Official

Name: MRS. CHRISTY SANDERS GRAVES
Title or Position: GENERAL MANAGER
Credential: EMT-P
Phone: 281-328-6810