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NPI 1003307489

NPI 1003307489 : BRAZORIA COUNTY EMERGENCY SERVICES DISTRICT 3 : MANVEL, TX

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General NPI Number Information
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    NPI Number           |    1003307489
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRAZORIA COUNTY EMERGENCY SERVICES DISTRICT 3 
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Dates
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    Enumeration Date     |    05/22/2018
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    6931 MASTERS RD 
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    City                 |    MANVEL
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    State                |    TX
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    Zip                  |    77578-4782
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    Country              |    US
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    Telephone            |    281-519-8779
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    Fax                  |    281-489-0024
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Provider Business Mailing Address
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    Address Line         |    7900 NW 154TH ST STE 201 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016-5816
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    Country              |    US
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    Telephone            |    281-519-8779
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    Fax                  |    281-489-0024
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Authorized Official
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    Title or Position    |    CHIEF
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    Name                 |     TIMOTHY LANCE WELCH 
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    Credential           |    
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    Telephone            |    281-519-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    1000984
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    License Number State |    TX
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