=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639156029
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF BRADY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2005
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 216 W COMMERCE ST
-----------------------------------------------------
City | BRADY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76825-4522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-597-2311
-----------------------------------------------------
Fax | 325-597-1625
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 691363
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77269-1363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-397-0397
-----------------------------------------------------
Fax | 281-397-6934
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASST FIRE CHIEF
-----------------------------------------------------
Name | JEREMY Q RAMON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 325-792-7865
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000519
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------