Healthcare Provider Details

I. General information

NPI: 1558718445
Provider Name (Legal Business Name): HUFFMAN VOLUNTEER FIRE DPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2016
Last Update Date: 05/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24141 FM 2100 RD
HUFFMAN TX
77336-2637
US

IV. Provider business mailing address

PO BOX 77
HUFFMAN TX
77336-0077
US

V. Phone/Fax

Practice location:
  • Phone: 281-324-4646
  • Fax:
Mailing address:
  • Phone: 281-324-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number800621
License Number StateTX

VIII. Authorized Official

Name: KEVIN GUILLOT
Title or Position: FIRE CHIEF
Credential:
Phone: 281-324-4646