Healthcare Provider Details

I. General information

NPI: 1740202738
Provider Name (Legal Business Name): CITY OF VAN ALSTYNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 NORTH PRESTON
VAN ALSTYNE TX
75495
US

IV. Provider business mailing address

PO BOX 495548
GARLAND TX
75049-5548
US

V. Phone/Fax

Practice location:
  • Phone: 903-482-6666
  • Fax: 903-712-0006
Mailing address:
  • Phone: 855-270-2499
  • Fax: 214-503-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number300549
License Number StateTX

VIII. Authorized Official

Name: SMITH LANDON
Title or Position: EMS ADMINISTRATOR
Credential:
Phone: 903-482-6666