MEDICARE: CITY OF BENBROOK

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	220022	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	:	1215930672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF BENBROOK

Provider Business Mailing Address
First Line	:	PO BOX 26569
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-0569
Country	:	US
Telephone Number	:	817-249-3000
Fax Number	:	817-249-0884

Provider Business Practice Location Address
First Line	:	528 MERCEDES ST
Second Line	:
City	:	BENBROOK
State	:	TX
Zip	:	76126-2521
Country	:	US
Telephone Number	:	817-249-1727
Fax Number	:	817-249-0884

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. TOMMY DAVIS
Credential	:
Telephone Number	:	817-249-1727

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/21/2022

Similar Medicare Providers

1427052752 — PATRICIA CLARK FNP
Practice Location Address:

114 SPROLES DR STE 101
BENBROOK, TX
76126

Practice Phone: 817-249-4100
Practice Fax: 817-249-4185

1124029731 — CAROL M SHELLEY FNP-C
Practice Location Address:

1004 WINSCOTT RD
BENBROOK, TX
76126-2776

Practice Phone: 817-249-0111
Practice Fax: 817-249-0110

1548255870 — EDDY R VIA MD
Practice Location Address:

1004 WINSCOTT RD
BENBROOK, TX
76126-2776

Practice Phone: 817-249-0111
Practice Fax:

1871581082 — MRS. DONNA KAYE AUSTIN FNP
Practice Location Address:

8840 BENBROOK BLVD , STE 101
FORT WORTH, TX
76126-2173

Practice Phone: 817-813-7101
Practice Fax:

1851372155 — JANE ELIZABETH DE GRASSE O.D.
Practice Location Address:

300 MERCEDES ST
BENBROOK, TX
76126-2593

Practice Phone: 817-249-4078
Practice Fax: 817-249-4094

1891754784 — PAUL L GEIGER JR. DO
Practice Location Address:

8840 BENBROOK BLVD STE 101
BENBROOK, TX
76126-2173

Practice Phone: 817-813-7101
Practice Fax:

Directions to “CITY OF BENBROOK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.