Healthcare Provider Details

I. General information

NPI: 1053340737
Provider Name (Legal Business Name): CITY OF DENISON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W CHESTNUT ST
DENISON TX
75020-3208
US

IV. Provider business mailing address

700 W CHESTNUT ST
DENISON TX
75020-3208
US

V. Phone/Fax

Practice location:
  • Phone: 903-464-4427
  • Fax: 903-465-3806
Mailing address:
  • Phone: 903-465-2720
  • Fax: 903-465-3806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number91001
License Number StateTX

VIII. Authorized Official

Name: MS. GORDON WEGER
Title or Position: CHIEF
Credential:
Phone: 903-464-4427