# CITY OF GROOM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558485300
- **Authorized official:** TACY LAMB (EMS DIRECTOR)
- **Authorized official phone:** (806) 248-7003

## Contact information

- **Practice address:** 203 BROADWAY AVE, GROOM, TX 79039
- **Practice address phone:** (806) 248-7003
- **Practice address fax:** (806) 820-0191
- **Mailing address:** 8300 BISSONNET ST, SUITE 205, HOUSTON, TX 77074-3900
- **Mailing address phone:** (713) 773-4355
- **Mailing address fax:** (713) 773-4363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 033001 | TX | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 05/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 189120201 | — | TX |