# VILLAGE OF SURFSIDE BEACH TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SURFSIDE BEACH EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316165962
- **Authorized official:** GARY W PHILLIPS (POLICE CHIEF)
- **Authorized official phone:** (979) 239-1151

## Contact information

- **Practice address:** 1304 MONUMENT DR, SURFSIDE BCH, TX 77541-9522
- **Practice address phone:** (979) 239-1151
- **Practice address fax:** (979) 373-0699
- **Mailing address:** P.O. BOX 691363, HOUSTON, TX 77269-1363
- **Mailing address phone:** (281) 397-0397
- **Mailing address fax:** (281) 397-6934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 800108 | TX | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 06/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2173924-01 | — | TX |
| 05 | — | 2173924-02 | — | TX |