# CHAD FUSSELL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROTEC AMBULANCE TRANSPORT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750326229
- **Authorized official:** MR. CHAD FUSSELL (PRESIDENT)
- **Authorized official phone:** (936) 827-7770

## Contact information

- **Practice address:** 13239 LAKE BREEZE LN, WILLIS, TX 77318-5327
- **Practice address phone:** (936) 827-7770
- **Practice address fax:** (936) 890-5708
- **Mailing address:** 13239 LAKE BREEZE LN, WILLIS, TX 77318-5327
- **Mailing address phone:** (936) 827-7770
- **Mailing address fax:** (936) 890-5708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 800078 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 07/26/2007