MEDICARE: TOWN OF FLOWER MOUND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	061004	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053317503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF FLOWER MOUND

Provider Business Mailing Address
First Line	:	2121 CROSS TIMBERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2602
Country	:	US
Telephone Number	:	972-874-6022
Fax Number	:	972-874-6479

Provider Business Practice Location Address
First Line	:	3838 FORUMS DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1815
Country	:	US
Telephone Number	:	972-874-6270
Fax Number	:	972-874-6470

Authorized Official
Title or Position	:	DEPUTY CHIEF OF EMS
Name	:	ROBERT ADCOCK
Credential	:
Telephone Number	:	972-768-2518

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/01/2025

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Directions to “TOWN OF FLOWER MOUND ” Practice Location

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