Organization
COUNTY OF JEFF DAVIS
Active
Other names
Jeff Davis County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE L FOWLER (EMS DIRECTOR)
(432) 426-3791
Entity
Organization
Contact information
Practice address
201 W COURT AVE, FORT DAVIS, TX 79734
(432) 426-3791
Mailing address
201 W COURT AVE, FORT DAVIS, TX 79734
(432) 426-3791
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
122002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004525-01
—
TX
Enumeration date
08/08/2007
Last updated
04/19/2012
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